go back

Washington, DC 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
$22.49 / $43.10 / $43.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.98 / $45.98 / $45.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.64 / $65.64 / $65.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.56 / $39.38 / $57.51