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Maine 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
$18.41 / $23.42 / $35.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.01 / $96.01 / $96.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.15 / $54.42 / $54.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.28 / $33.28 / $33.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.41 / $23.42 / $35.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $20.36 / $46.84