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Connecticut 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 / $28.73 / $48.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $44.15 / $58.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.31 / $66.31 / $66.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $22.55 / $32.35