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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
$46.77 / $46.77 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $46.77 / $53.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $56.23 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $56.23 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $186.21 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $69.18 / $83.18
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $165.96 / $346.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $66.07 / $83.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $51.29 / $56.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $23.44 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $25.70 / $58.88