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Virginia 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
$27.13 / $50.58 / $61.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.76 / $77.48 / $77.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.58 / $55.58 / $55.58
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 / $28.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.44 / $75.37 / $94.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.86 / $52.30 / $88.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.47 / $107.00 / $185.95
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.95 / $64.05 / $99.15
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.36 / $64.05 / $99.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.69 / $39.58 / $50.36