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North Carolina 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 / $54.85 / $60.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.22 / $67.31 / $67.31
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 / $50.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.00 / $55.59 / $73.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $40.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.58 / $31.05 / $38.14
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.49 / $127.44 / $368.51
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.81 / $407.81 / $637.20