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South 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
$25.26 / $53.25 / $64.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $64.37 / $79.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $28.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.98 / $53.25 / $70.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.74 / $29.69 / $37.10