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Nationwide rates for HCPCS V2104

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $37.15 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $87.10 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $30.90 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $81.28 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $45.71 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $22.39 / $36.31