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Iowa 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
$21.88 / $41.69 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $66.07 / $83.18
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $48.98 / $63.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $48.98 / $69.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $24.55 / $41.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $95.50 / $95.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.79 / $107.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $24.55 / $31.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67