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Vermont 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
$15.85 / $30.20 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $40.74 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $44.67 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $26.92 / $85.11