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Maryland 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
$22.49 / $43.10 / $57.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.98 / $45.98 / $45.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.79 / $67.61 / $98.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.56 / $32.74 / $42.56