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Oklahoma 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 / $53.84 / $56.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.20 / $62.20 / $62.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $31.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.89 / $53.49 / $81.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.58 / $33.86 / $71.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.58 / $27.77 / $46.45