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Virginia 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
$17.93 / $33.64 / $42.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.17 / $53.15 / $53.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.13 / $38.13 / $38.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.53 / $53.53 / $53.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.26 / $51.70 / $64.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.20 / $35.88 / $60.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.82 / $73.00 / $127.56
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.64 / $43.94 / $68.01
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $43.94 / $68.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.36 / $27.16 / $32.72