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Massachusetts rates for HCPCS V2103

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $28.00 / $38.60
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.32 / $39.86 / $59.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $31.51 / $248.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $21.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.28 / $33.28 / $33.28
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.41 / $20.36 / $261.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.41 / $20.36 / $39.86