go back

Maine rates for HCPCS V2203

Spherocylinder Bifocal Plano To Plus Or Minus 4.00d Sphere .12 To 2.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $37.82 / $53.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.02 / $155.02 / $155.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.83 / $82.77 / $82.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $29.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.76 / $53.76 / $53.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $37.82 / $53.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.92 / $32.89 / $75.62