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Indiana rates for HCPCS V2201

Sphere Bifocal Plus Or Minus 4.12 To Plus Or Minus 7.00d Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.78 / $51.26 / $62.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.91 / $28.91 / $44.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.33 / $87.53 / $94.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.33 / $74.06 / $84.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.19 / $32.19 / $78.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $31.96 / $42.20