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West Virginia 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
$67.22 / $78.01 / $95.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.62 / $130.52 / $157.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.99 / $119.65 / $252.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.69 / $107.69 / $107.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $39.15 / $39.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.48 / $54.26 / $90.85