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Maine rates for HCPCS V2107

Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $43.65 / $52.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $70.79 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.12 / $25.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $38.90 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $25.70 / $45.71