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Vermont 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 / $43.71 / $56.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.98 / $61.98 / $69.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $31.15
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $31.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.38 / $42.39 / $145.12