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Minnesota 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
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $52.48 / $66.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $79.43 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $257.04 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $97.72 / $117.49
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $234.42 / $489.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $91.20 / $95.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $58.88 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $29.51 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $29.51 / $83.18