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South 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
$21.88 / $43.65 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $56.23 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $45.71 / $57.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $25.12 / $33.11