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Arizona rates for HCPCS V2204

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

Facilitymedian $58 · 10th–90th $30–$910%10%20%10th90th$58Professionalmedian $52 · 10th–90th $28–$620%20%10th90th$52$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $53.70 / $61.66
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $58.88 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $57.54 / $91.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $32.36 / $407.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $32.36 / $48.98