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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
$35.21 / $71.77 / $74.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.72 / $88.72 / $88.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.28 / $93.16 / $119.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $36.14 / $128.44
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.27 / $67.55 / $81.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.67 / $12.27 / $19.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.42 / $40.90 / $59.27