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Florida 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
$28.00 / $53.87 / $61.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $31.15
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.35 / $51.75 / $67.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.83 / $152.83 / $152.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.91 / $32.88 / $42.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.53 / $86.53 / $86.53