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West 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
$48.03 / $54.41 / $71.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.43 / $98.50 / $110.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $90.29 / $190.29
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
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.95 / $46.95 / $52.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.97 / $40.95 / $68.56