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Louisiana 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
$26.80 / $58.14 / $59.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $43.01 / $44.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $31.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.58 / $33.36 / $42.62