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Missouri 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 / $52.98 / $61.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.60 / $37.70 / $60.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.42 / $31.15 / $31.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.75 / $63.47 / $124.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.35 / $32.67 / $99.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.35 / $32.38 / $46.75