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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
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $42.66 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $36.31 / $38.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $60.26 / $79.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $63.10 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $38.02 / $263.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $27.54 / $35.48