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Washington, DC 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
$27.19 / $52.11 / $52.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.58 / $55.58 / $55.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $28.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.71 / $39.58 / $69.52