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Missouri 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
$27.99 / $49.46 / $59.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $36.56 / $55.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.10 / $29.80 / $29.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.92 / $60.97 / $119.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $31.40 / $95.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $30.97 / $45.04