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Virginia 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 / $50.73 / $61.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.98 / $80.83 / $80.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.50 / $57.50 / $57.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.37 / $80.37 / $80.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $29.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.77 / $77.98 / $97.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.36 / $54.11 / $91.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $111.00 / $192.38
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.11 / $66.27 / $102.59
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.11 / $66.27 / $102.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.97 / $40.95 / $49.25