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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.80 / $49.42 / $62.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.98 / $20.98 / $23.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.57 / $58.57 / $69.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $31.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.95 / $57.00 / $86.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.93 / $32.38 / $407.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.93 / $32.38 / $46.45