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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
$74.13 / $74.13 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $70.79 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $89.13 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $89.13 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $288.40 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $109.65 / $131.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $263.03 / $537.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $102.33 / $123.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $77.62 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $37.15 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $37.15 / $93.33