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West 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
$54.80 / $57.83 / $81.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.90 / $112.27 / $126.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.63 / $102.92 / $216.92
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.01 / $46.68 / $78.15