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Vermont 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
$25.12 / $45.71 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $72.44 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $41.69 / $138.04