go back

Missouri 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
$37.99 / $48.14 / $56.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.07 / $36.77 / $52.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.89 / $28.56 / $28.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $57.65 / $113.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $29.69 / $90.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $29.65 / $42.48