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Louisiana 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
$28.97 / $61.62 / $64.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $44.88 / $45.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $33.68 / $33.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.34 / $35.01 / $44.47