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Rhode Island 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
$22.45 / $31.28 / $33.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.22 / $35.22 / $48.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.83 / $24.56 / $32.89