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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
$26.92 / $52.48 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $35.48 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $58.88 / $102.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $29.51 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $29.51 / $42.66