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Kentucky 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
Facility
Modifier
Low / Median / High Price
$58.65 / $58.65 / $58.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $62.84 / $78.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.93 / $57.98 / $105.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.54 / $118.83 / $147.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.25 / $114.37 / $188.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.18 / $104.18 / $104.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $38.71 / $103.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $56.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.82 / $41.74 / $58.02