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Wyoming 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
$41.16 / $41.16 / $50.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.26 / $56.26 / $56.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $21.61 / $22.55