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South 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
$16.86 / $33.02 / $42.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $39.92 / $49.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.28 / $33.64 / $44.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.97 / $19.92 / $23.01