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Vermont rates for HCPCS V2103

Spherocylinder Single Vision Plano To Plus Or Minus 4.00d Sphere .12 To 2.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $23.79 / $34.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.36 / $36.36 / $40.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.36 / $27.16 / $85.10