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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
$66.45 / $66.45 / $66.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.68 / $52.11 / $66.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.42 / $79.34 / $79.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.38 / $226.95 / $285.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.79 / $101.06 / $116.68
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.38 / $224.70 / $471.42
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.50 / $91.88 / $91.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.82 / $64.19 / $79.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.79 / $29.69 / $59.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.79 / $29.69 / $55.46