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Missouri 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 / $39.82 / $46.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.72 / $28.59 / $45.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.07 / $23.63 / $23.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.14 / $47.69 / $93.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.23 / $24.56 / $75.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.23 / $24.56 / $35.22