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Georgia 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
$27.60 / $44.28 / $48.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.36 / $55.36 / $55.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.13 / $55.79 / $95.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.36 / $80.27 / $88.58
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
$44.29 / $55.36 / $88.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $58.06 / $259.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.41 / $25.07 / $37.43