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Maryland rates for HCPCS V2114

Spherocylinder Single Vision Sphere Over Plus Or Minus 12.00d Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.27 / $71.44 / $95.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.20 / $76.20 / $76.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $39.15 / $39.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.45 / $112.03 / $163.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.70 / $54.26 / $81.73