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Indiana 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
$46.32 / $57.64 / $64.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.07 / $34.07 / $48.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.34 / $103.14 / $111.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $87.27 / $99.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $81.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.79 / $37.26 / $48.27