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West 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
$39.40 / $42.75 / $57.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.23 / $78.77 / $88.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.64 / $72.20 / $152.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.87 / $64.87 / $64.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.27 / $32.74 / $54.81