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Kansas 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
$18.67 / $37.86 / $43.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $33.36 / $33.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.56 / $38.90 / $72.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.04 / $22.55 / $289.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.04 / $21.83 / $28.87