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Massachusetts rates for HCPCS V2204

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $52.48 / $63.10
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $67.61 / $102.33
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $45.71 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $34.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $60.26 / $60.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $67.61 / $102.33
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $42.66 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $34.67 / $60.26