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Maryland 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
$20.74 / $39.75 / $54.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.40 / $42.40 / $42.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $23.78 / $23.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.45 / $62.35 / $90.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.71 / $30.20 / $39.64