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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
$37.61 / $38.90 / $40.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179,999.82 / $179,999.82 / $539,999.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.61 / $59.04 / $65.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.81 / $38.81 / $38.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.80 / $21.70 / $22.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.04 / $22.55 / $31.00