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Virginia 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 / $77.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.93 / $105.01 / $105.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.34 / $71.34 / $71.34
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 / $38.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.56 / $96.75 / $121.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.12 / $67.13 / $113.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.78 / $137.00 / $238.68
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.63 / $82.18 / $127.26
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.63 / $82.18 / $127.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.24 / $50.80 / $61.10