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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
$19.95 / $36.31 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $34.67 / $45.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $22.39 / $30.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26