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Indiana 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
$40.74 / $67.61 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $43.65 / $64.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $40.74 / $58.88