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Arizona rates for HCPCS V2109

Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.57 / $48.14 / $62.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.38 / $19.38 / $21.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.46 / $54.12 / $71.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $28.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.29 / $53.02 / $79.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.45 / $29.69 / $368.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.45 / $29.69 / $42.59