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Minnesota rates for HCPCS V2103

Spherocylinder Single Vision Plano To Plus Or Minus 4.00d Sphere .12 To 2.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.34 / $39.34 / $39.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.41 / $35.74 / $42.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.97 / $46.97 / $46.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.72 / $46.97 / $46.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.14 / $134.06 / $168.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.92 / $59.81 / $69.06
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.14 / $132.72 / $278.47
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.05 / $54.38 / $55.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.30 / $40.69 / $47.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $19.53 / $45.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $18.71 / $42.01