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Minnesota 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
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $53.70 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $77.62 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $77.62 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $251.19 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $95.50 / $114.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $229.09 / $478.63
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $89.13 / $100.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $60.26 / $77.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $30.20 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $30.20 / $81.28