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Arizona rates for HCPCS V2304

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $62.08 / $75.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.31 / $26.31 / $28.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.45 / $73.45 / $87.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $38.71 / $38.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.83 / $71.51 / $106.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.20 / $40.24 / $500.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.36 / $40.24 / $57.72