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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
$37.27 / $71.44 / $85.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.20 / $76.20 / $76.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $39.15 / $39.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.77 / $108.77 / $108.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.95 / $54.26 / $95.32