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Minnesota 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
Facility
Modifier
Low / Median / High Price
$74.31 / $74.31 / $74.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.90 / $64.89 / $74.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.72 / $88.72 / $88.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.15 / $88.72 / $88.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.80 / $253.76 / $319.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.78 / $113.03 / $130.49
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.80 / $251.25 / $527.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.50 / $102.75 / $102.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.91 / $79.73 / $88.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.05 / $35.34 / $70.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.05 / $35.34 / $88.72