go back

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