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Vermont 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
$20.32 / $31.28 / $39.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.85 / $43.85 / $49.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.56 / $36.99 / $102.62