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Michigan 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
$27.91 / $54.78 / $62.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.66 / $77.66 / $77.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.78 / $81.54 / $104.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $112.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.64 / $55.09 / $65.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.67 / $12.27 / $19.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.91 / $35.82 / $50.90