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Connecticut 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 / $31.28 / $44.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.09 / $48.07 / $64.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $72.20 / $72.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $24.56 / $35.61