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Connecticut 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 / $43.71 / $58.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.60 / $63.37 / $84.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $31.15
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.46 / $93.46 / $93.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.94 / $34.72 / $46.49