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Indiana rates for HCPCS V2107

Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $43.65 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $28.18 / $41.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $25.12 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $26.30 / $38.02