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West 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
$33.64 / $34.86 / $47.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.02 / $65.30 / $73.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $59.86 / $126.18
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
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.60 / $34.60 / $34.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $27.16 / $45.46