go back

West 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
$45.02 / $47.35 / $63.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.37 / $87.40 / $98.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.42 / $80.11 / $168.87
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.77 / $36.34 / $63.80