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North Carolina 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
$24.57 / $53.25 / $58.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.02 / $65.81 / $65.81
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 / $44.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.00 / $54.36 / $72.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $25.00 / $35.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.79 / $29.69 / $38.76
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.92 / $133.29 / $340.43
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.02 / $368.02 / $575.03