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Louisiana rates for HCPCS V2203

Spherocylinder Bifocal Plano To Plus Or Minus 4.00d Sphere .12 To 2.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.64 / $54.41 / $58.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $42.26 / $43.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $29.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $32.20 / $41.89