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Michigan 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
$30.24 / $53.83 / $58.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.33 / $67.33 / $67.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.96 / $70.70 / $90.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.19 / $32.19 / $97.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.60 / $53.83 / $65.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.61 / $14.50 / $22.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.20 / $31.61 / $44.99