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Minnesota rates for HCPCS V2103

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

Facilitymedian $43 · 10th–90th $32–$1380%20%10th90th$43Professionalmedian $38 · 10th–90th $23–$490%10%20%10th90th$38$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $33.88 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $46.77 / $46.77
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $46.77 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $151.36 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $57.54 / $69.18
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $144.54 / $295.12
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $57.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $38.90 / $46.77
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $20.42 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $20.42 / $70.79