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Georgia 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
$41.12 / $54.46 / $60.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $67.31 / $67.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.57 / $72.62 / $115.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $97.61 / $107.71
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
$53.86 / $67.31 / $90.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $70.61 / $315.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $32.38 / $46.45