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Georgia rates for HCPCS V2103

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $33.88 / $41.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $35.48 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $50.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $41.69 / $53.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $34.67 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $19.50 / $29.51