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Michigan 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
$28.18 / $50.12 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $95.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $52.48 / $64.57
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $30.20 / $46.77