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Michigan rates for HCPCS V2199

Not Otherwise Classified Single Vision Lens

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.50 / $22.50 / $22.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $23.63 / $30.38
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $17.50 / $17.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $50.00