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Massachusetts rates for HCPCS V2109

Spherocylinder Single Vision Plus Or Minus 4.25 To Plus Or Minus 7.00d Sphere 4.25 To 6.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.57 / $43.82 / $58.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.49 / $58.11 / $87.16
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.94 / $45.94 / $361.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $31.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.52 / $48.52 / $48.52
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.83 / $29.69 / $368.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $29.69 / $58.11