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Maine 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
$41.63 / $44.30 / $74.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.60 / $181.60 / $181.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.05 / $100.41 / $100.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $36.14 / $36.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.96 / $62.96 / $62.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.63 / $44.30 / $74.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.16 / $38.52 / $88.58