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Kentucky 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
Facility
Modifier
Low / Median / High Price
$49.21 / $49.21 / $49.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.97 / $54.80 / $68.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.70 / $48.64 / $91.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.52 / $103.36 / $135.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.25 / $99.71 / $166.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.90 / $89.90 / $89.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $33.68 / $86.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.34 / $36.50 / $48.69