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Washington, DC 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
$29.65 / $56.83 / $58.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.62 / $60.62 / $60.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $31.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.53 / $86.53 / $86.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.94 / $43.17 / $75.81