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Missouri 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
$18.41 / $32.64 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.17 / $23.72 / $37.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.13 / $19.59 / $19.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.14 / $39.56 / $77.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $20.36 / $62.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $20.36 / $29.14