go back

Michigan 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
$34.67 / $67.61 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $89.13 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $131.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $70.79 / $83.18
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $40.74 / $58.88