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Arizona rates for HCPCS V2113

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.10 / $61.64 / $74.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.37 / $20.37 / $22.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.92 / $56.86 / $67.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $36.14 / $36.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $73.83 / $92.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.72 / $37.57 / $474.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.72 / $37.57 / $53.90