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Virginia 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 / $42.66 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $64.57 / $114.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $63.10 / $79.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $61.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $45.71 / $72.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $38.90
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $52.48 / $66.07
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $52.48 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $33.11 / $41.69