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Indiana rates for HCPCS V2203

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.36 / $49.28 / $58.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $27.79 / $41.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.72 / $84.14 / $90.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.72 / $71.19 / $80.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $75.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $30.39 / $40.57