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Tennessee 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
$43.18 / $55.77 / $60.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.00 / $999.00 / $999.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $31.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.49 / $340.14 / $368.51
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.81 / $407.81 / $637.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.58 / $30.32 / $35.59