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Maryland rates for HCPCS V2201

Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $53.70 / $64.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $89.13 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $43.65 / $58.88