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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
$27.20 / $27.20 / $27.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $34.01 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.16 / $26.89 / $51.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.25 / $57.15 / $78.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.90 / $57.15 / $93.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.53 / $53.53 / $53.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $48.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $20.36 / $28.25