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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
$41.63 / $61.64 / $75.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.09 / $43.74 / $69.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.29 / $36.14 / $36.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.76 / $72.95 / $143.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.42 / $37.57 / $114.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.42 / $37.57 / $53.90