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Rhode Island 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
$31.73 / $43.71 / $44.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $49.80 / $68.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $31.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.94 / $34.72 / $46.49