go back

West 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
$47.75 / $58.88 / $69.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.27 / $95.21 / $119.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.98 / $87.27 / $183.95
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.25 / $39.58 / $66.26