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South Carolina 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
$25.70 / $50.12 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $63.10 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $54.95 / $66.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $29.51 / $37.15