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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
$19.95 / $36.31 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $53.70 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $33.11 / $102.33