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Arkansas 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
Professional
Modifier
Low / Median / High Price
$30.20 / $38.90 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181,970.09 / $181,970.09 / $537,031.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $21.88 / $23.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $22.39 / $31.62