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Maine 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
$36.82 / $46.80 / $71.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.88 / $191.88 / $191.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.23 / $108.77 / $108.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $39.15 / $39.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.52 / $66.52 / $66.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.82 / $46.80 / $71.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.13 / $40.70 / $93.60