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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
$36.31 / $70.79 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $112.20 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $38.90 / $38.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $64.57 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $40.74 / $70.79