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North Carolina 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
$16.85 / $34.19 / $38.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.88 / $40.82 / $40.82
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 / $31.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.00 / $34.01 / $44.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $25.00 / $35.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $18.82 / $27.16
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $217.85
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.22 / $261.22 / $408.15