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Minnesota 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
Facility
Modifier
Low / Median / High Price
$54.21 / $54.21 / $54.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $53.91 / $55.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.72 / $64.72 / $64.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.36 / $64.72 / $64.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.69 / $184.81 / $232.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.75 / $82.50 / $95.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.69 / $182.98 / $383.90
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.25 / $75.00 / $75.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.71 / $58.25 / $67.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $25.81 / $62.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $25.81 / $57.86