go back

Massachusetts rates for HCPCS V2101

Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $38.90 / $53.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $47.86 / $72.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $33.11 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $26.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $43.65 / $43.65
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $47.86 / $72.44
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $33.11 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $24.55 / $43.65