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Rhode Island 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
$20.61 / $28.73 / $31.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.35 / $32.35 / $44.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.36 / $22.55 / $30.21