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Indiana 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
$58.30 / $78.01 / $88.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.14 / $45.14 / $64.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.11 / $136.63 / $147.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.11 / $115.62 / $131.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $39.15 / $107.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.13 / $48.49 / $63.95