go back

Michigan rates for HCPCS V2106

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $47.09 / $51.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.80 / $63.80 / $63.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.61 / $66.98 / $86.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.22 / $26.22 / $92.34
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.32 / $46.43 / $56.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $6.98 / $14.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.34 / $29.43 / $42.64