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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
$26.62 / $29.80 / $47.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.16 / $122.16 / $122.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.63 / $69.25 / $69.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $24.93 / $24.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.35 / $42.35 / $42.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $29.80 / $47.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.29 / $25.91 / $71.93