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Louisiana 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 / $76.79 / $79.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.46 / $58.06 / $59.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $36.14 / $36.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.05 / $44.23 / $53.90