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Tennessee 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
$37.82 / $54.84 / $62.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.00 / $999.00 / $999.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $28.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.92 / $317.68 / $340.43
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.02 / $368.02 / $575.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.79 / $29.65 / $34.79