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North Carolina 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
Professional
Modifier
Low / Median / High Price
$18.20 / $33.88 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $40.74 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $30.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $35.48 / $48.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.12 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $18.62 / $25.12
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $407.38