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North Carolina 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 / $44.79 / $48.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.59 / $55.36 / $55.36
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 / $37.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.00 / $45.69 / $60.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $25.00 / $35.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.37 / $24.56 / $30.32
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $257.91
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.07 / $315.07 / $492.30