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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
$59.82 / $67.55 / $79.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.09 / $38.09 / $60.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.72 / $115.34 / $124.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.72 / $97.59 / $110.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $36.14 / $91.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.05 / $41.59 / $55.61