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Louisiana 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
$20.32 / $42.05 / $48.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.09 / $30.62 / $31.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.37 / $23.97 / $31.16