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Minnesota 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
Facility
Modifier
Low / Median / High Price
$47.58 / $47.58 / $47.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $45.96 / $51.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.81 / $56.81 / $56.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.84 / $56.81 / $56.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.34 / $161.83 / $203.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.66 / $72.59 / $83.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.34 / $160.22 / $336.16
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.74 / $66.00 / $66.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.56 / $51.70 / $59.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.28 / $22.64 / $48.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.28 / $22.64 / $48.41