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South Carolina 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
$19.86 / $36.58 / $42.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $44.15 / $54.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.21 / $36.58 / $51.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $21.55 / $25.48