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Rhode Island 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
$18.62 / $25.94 / $28.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.22 / $29.22 / $40.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $20.36 / $27.28