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Arizona rates for HCPCS V2114

Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $70.79 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $75.86 / $114.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $40.74 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $40.74 / $61.66