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Virginia rates for HCPCS V2106

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.96 / $45.02 / $53.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $71.12 / $71.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.02 / $51.02 / $51.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.70 / $70.70 / $70.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.22 / $26.22 / $26.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.91 / $69.19 / $86.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.43 / $48.02 / $81.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.90 / $98.00 / $170.69
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.69 / $58.79 / $91.02
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.23 / $58.79 / $91.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.25 / $36.34 / $43.70