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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
$25.70 / $47.86 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $75.86 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $42.66 / $144.54