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Massachusetts rates for HCPCS V2113

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $64.57 / $81.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $75.86 / $112.20
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $51.29 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $39.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $67.61 / $67.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $75.86 / $112.20
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $48.98 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $38.90 / $67.61