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Georgia 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
$25.17 / $37.61 / $45.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.21 / $45.21 / $45.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.95 / $48.77 / $77.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.21 / $65.55 / $72.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.17 / $45.21 / $72.34
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $47.42 / $211.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.04 / $22.08 / $31.88