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Kentucky 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
Facility
Modifier
Low / Median / High Price
$61.50 / $61.50 / $61.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.10 / $65.84 / $81.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.09 / $60.81 / $98.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.54 / $124.61 / $141.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.36 / $121.30 / $199.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.17 / $108.17 / $108.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $36.14 / $108.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.05 / $43.86 / $60.86