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Michigan 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
$27.13 / $54.46 / $64.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.37 / $83.31 / $107.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $114.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.66 / $56.29 / $67.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $6.98 / $14.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $36.60 / $48.52