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Maine rates for HCPCS V2100

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.20 / $26.98 / $38.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.59 / $110.59 / $110.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.22 / $62.69 / $62.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.57 / $22.57 / $22.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.35 / $38.35 / $38.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.98 / $26.98 / $37.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.37 / $23.46 / $53.94