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South 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
$28.00 / $54.46 / $61.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $65.83 / $81.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $31.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.64 / $54.46 / $75.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.98 / $31.61 / $39.86