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Tennessee 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
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $489.78 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $24.55 / $29.51