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Kentucky 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
Facility
Modifier
Low / Median / High Price
$36.88 / $36.88 / $36.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $42.75 / $51.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.72 / $36.46 / $64.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.09 / $77.50 / $95.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.38 / $74.73 / $124.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.87 / $64.87 / $64.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $65.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.37 / $27.62 / $36.50