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Ohio 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
$16.85 / $34.86 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.82 / $20.45 / $54.42
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.97 / $46.97 / $46.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.97 / $56.36 / $70.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.67 / $61.06 / $112.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $21.67 / $28.25