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Kentucky 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
Facility
Modifier
Low / Median / High Price
$44.85 / $44.85 / $44.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.80 / $49.42 / $63.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.60 / $44.34 / $84.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.81 / $93.23 / $125.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.05 / $90.88 / $149.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.58 / $83.58 / $83.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $79.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.58 / $32.38 / $44.38