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Massachusetts rates for HCPCS V2100

Sphere, single vision, plano to plus or minus 4.00, per lens

Facilitymedian $48 · 10th–90th $41–$690%20%10th90th$48Professionalmedian $38 · 10th–90th $19–$500%10%20%10th90th$38$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $37.15 / $50.12
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $45.71 / $69.18
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $31.62 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $25.12
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $60.26 / $60.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $40.74 / $40.74
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $45.71 / $69.18
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $31.62 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $25.12 / $40.74