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Missouri 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
$34.67 / $64.57 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $42.66 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $75.86 / $128.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $37.15 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $37.15 / $53.70