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Minnesota 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
Facility
Modifier
Low / Median / High Price
$44.91 / $44.91 / $44.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.59 / $43.38 / $56.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.62 / $53.62 / $53.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.21 / $53.62 / $53.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.45 / $153.21 / $192.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.87 / $68.48 / $79.06
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.45 / $151.69 / $318.26
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.40 / $62.25 / $62.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.36 / $50.32 / $56.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $21.36 / $46.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $21.36 / $46.17