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Massachusetts rates for HCPCS V2105

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $36.15 / $48.47
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.59 / $48.07 / $72.09
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.11 / $38.00 / $299.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $26.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.15 / $40.15 / $40.15
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.19 / $24.56 / $315.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.97 / $24.56 / $55.43