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Michigan rates for HCPCS V2112

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.59 / $58.52 / $70.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.73 / $87.73 / $87.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.34 / $92.12 / $118.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.08 / $32.08 / $127.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.68 / $62.23 / $77.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.67 / $12.27 / $19.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $40.46 / $59.27