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Virginia 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
$32.06 / $57.83 / $67.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.70 / $91.37 / $91.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.54 / $65.54 / $65.54
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 / $33.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.53 / $88.88 / $111.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.21 / $61.68 / $104.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.25 / $126.00 / $219.29
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.39 / $75.52 / $116.93
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.39 / $75.52 / $116.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.01 / $46.68 / $56.14