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Ohio 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
$40.58 / $65.84 / $80.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.18 / $41.89 / $100.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.72 / $106.46 / $133.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.59 / $115.34 / $212.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $36.14 / $36.14
Medical Mutual of Ohio
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 / $41.59 / $53.34