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Wyoming 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
$38.92 / $85.00 / $85.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.34 / $49.34 / $49.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.41 / $19.52 / $20.36