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Florida 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
$19.86 / $36.42 / $43.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $34.75 / $45.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.83 / $152.83 / $152.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $22.55 / $29.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.28 / $60.28 / $60.28