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Maine 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
$30.20 / $52.48 / $61.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $91.20 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $32.36 / $32.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $45.71 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $35.48 / $61.66