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Arkansas rates for HCPCS V2204

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $56.07 / $56.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179,999.82 / $179,999.82 / $539,999.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.32 / $81.16 / $90.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.38 / $53.38 / $53.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.58 / $31.15 / $32.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.58 / $32.00 / $42.62