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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
$38.57 / $38.57 / $38.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.21 / $37.61 / $45.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.08 / $96.03 / $96.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.79 / $44.15 / $60.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.59 / $58.59 / $58.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $22.55 / $32.35