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Maryland 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
$17.93 / $35.74 / $47.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.13 / $38.13 / $38.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.26 / $56.05 / $81.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.36 / $27.16 / $35.29