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Maryland rates for HCPCS V2203

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.13 / $53.91 / $71.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.85 / $57.50 / $57.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $29.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.77 / $84.54 / $123.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.97 / $40.95 / $52.44