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Maryland 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
$34.89 / $66.88 / $89.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.34 / $71.34 / $71.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $38.71 / $38.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.56 / $104.90 / $152.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.24 / $50.80 / $68.87