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Maine 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
$29.68 / $34.14 / $53.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.97 / $139.97 / $139.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.48 / $79.34 / $79.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $28.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.52 / $48.52 / $48.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.68 / $34.14 / $53.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $29.69 / $49.48