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West 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
$62.08 / $67.11 / $89.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.20 / $122.21 / $137.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.84 / $112.02 / $236.12
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.31 / $50.80 / $85.04