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Oklahoma 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 / $46.14 / $53.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.65 / $53.65 / $53.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $28.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.31 / $46.14 / $70.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.79 / $29.69 / $62.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.79 / $27.63 / $42.59