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Maryland 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 / $75.77
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
$73.55 / $89.13 / $129.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.38 / $43.17 / $55.28