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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
$21.63 / $44.59 / $48.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $54.14 / $66.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.97 / $44.79 / $59.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $25.73 / $31.19