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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
$25.70 / $52.48 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $36.31 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $34.67 / $46.77