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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
$19.95 / $37.15 / $44.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $38.90 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $54.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $45.71 / $45.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $34.67 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $21.38 / $31.62