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Wyoming 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
$43.10 / $45.14 / $45.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.07 / $48.07 / $48.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.19 / $23.53 / $24.56