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Minnesota rates for HCPCS V2100

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.74 / $46.74 / $46.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.20 / $39.40 / $52.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.80 / $55.80 / $55.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.01 / $55.80 / $55.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.04 / $158.96 / $199.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.52 / $71.36 / $82.39
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.04 / $157.38 / $330.19
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $64.88 / $64.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.56 / $47.67 / $55.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.64 / $22.24 / $47.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.64 / $22.24 / $57.47