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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
$33.68 / $66.00 / $84.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.06 / $22.06 / $24.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.60 / $61.60 / $73.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $39.15 / $39.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.75 / $73.09 / $101.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.63 / $40.70 / $538.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.63 / $40.70 / $58.39