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Indiana rates for HCPCS V2304

Spherocylinder Trifocal Plano To Plus Or Minus 4.00d Sphere 2.25-4.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.12 / $63.70 / $77.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.93 / $35.93 / $57.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.65 / $108.75 / $117.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.65 / $92.02 / $104.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $38.71 / $97.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.82 / $39.69 / $53.45