go back

Wyoming 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
$59.90 / $67.25 / $67.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.80 / $66.80 / $66.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $31.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.26 / $32.38 / $38.94