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Colorado 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
$26.92 / $52.48 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $36.31 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $141.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $60.26 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $29.51 / $42.66