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South Carolina 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
$34.33 / $70.90 / $77.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.88 / $86.07 / $105.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $38.71 / $38.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.81 / $71.20 / $94.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.53 / $40.24 / $49.61