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Indiana rates for HCPCS V2205

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.30 / $56.22 / $64.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.70 / $31.70 / $48.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.83 / $95.98 / $103.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.83 / $81.20 / $92.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $33.68 / $82.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.34 / $35.04 / $47.16