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Arizona rates for HCPCS V2105

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $39.82 / $46.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.08 / $14.08 / $15.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.81 / $39.32 / $51.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.46 / $44.10 / $65.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.70 / $24.56 / $315.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.70 / $24.56 / $36.99