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Maine rates for HCPCS V2111

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $52.48 / $58.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $83.18 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $29.51 / $29.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $50.12 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $30.20 / $53.70