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Iowa 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
$32.27 / $36.58 / $48.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $56.25 / $70.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.43 / $45.21 / $56.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.56 / $45.05 / $64.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.85 / $22.55 / $45.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.03 / $49.73 / $88.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.72 / $47.00 / $88.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $49.39 / $88.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $22.55 / $28.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.15 / $40.69 / $40.69