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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
$39.81 / $64.57 / $79.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $102.33 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $36.31 / $36.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $60.26 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $38.90 / $67.61