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Connecticut 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 / $37.82 / $56.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.09 / $58.11 / $77.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $28.56
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.34 / $84.34 / $84.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.74 / $29.69 / $40.99