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Maryland 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 / $67.61 / $81.28
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $95.50 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $46.77 / $63.10