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Colorado 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
$18.67 / $38.74 / $48.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.67 / $23.16 / $60.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.59 / $48.97 / $82.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.61 / $75.67 / $114.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $22.55 / $33.97