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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
$65.05 / $65.05 / $65.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.53 / $52.71 / $65.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.66 / $77.66 / $77.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.03 / $77.66 / $77.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.55 / $222.16 / $279.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.90 / $99.00 / $114.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.55 / $219.96 / $461.47
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.50 / $90.00 / $90.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.44 / $62.83 / $77.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.36 / $30.54 / $58.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.36 / $30.54 / $62.04