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Michigan 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 / $34.04 / $38.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.92 / $39.92 / $39.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.97 / $46.97 / $46.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.62 / $49.32 / $63.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $67.97
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.21 / $34.01 / $42.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $9.69 / $14.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $21.67 / $29.82