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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
$30.20 / $53.70 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $67.61 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $100.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $53.70 / $67.61
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $31.62 / $47.86