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Washington, DC 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
$37.15 / $67.61 / $87.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $53.70 / $95.50