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Maine 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
$22.34 / $28.42 / $40.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.52 / $116.52 / $116.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.51 / $66.06 / $66.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $23.78 / $23.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.40 / $40.40 / $40.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.34 / $28.42 / $40.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $24.71 / $56.84