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West Virginia 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
$59.22 / $65.84 / $81.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.03 / $111.37 / $133.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.81 / $110.76 / $215.20
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 / $36.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.81 / $46.30 / $77.51