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Kentucky 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
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $33.11 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.92 / $28.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $46.77 / $58.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $48.98 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $30.90 / $223.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $20.42 / $29.51