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Vermont 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
$24.57 / $37.82 / $48.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.01 / $53.01 / $59.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $28.56
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $28.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.69 / $38.24 / $124.07