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Tennessee 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
$25.94 / $34.01 / $39.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.00 / $999.00 / $999.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $217.85
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.22 / $261.22 / $408.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $18.39 / $21.58