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Michigan 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 / $71.98 / $85.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.11 / $105.11 / $105.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.85 / $110.37 / $141.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $39.15 / $152.34
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $74.58 / $93.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $6.98 / $14.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.87 / $49.36 / $81.09