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Georgia rates for HCPCS V2103

Spherocylinder Single Vision Plano To Plus Or Minus 4.00d Sphere .12 To 2.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.79 / $34.01 / $42.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.82 / $40.82 / $40.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.85 / $44.03 / $70.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.82 / $59.19 / $65.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $40.82 / $65.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $42.81 / $191.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $19.52 / $29.42