go back

Kentucky 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
Facility
Modifier
Low / Median / High Price
$43.86 / $43.86 / $43.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.57 / $53.25 / $60.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.52 / $43.36 / $77.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.48 / $92.15 / $115.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.29 / $92.15 / $158.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.06 / $78.06 / $78.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $77.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.79 / $32.84 / $47.00