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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
$26.80 / $44.22 / $61.37
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.22 / $67.97 / $101.96
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.37 / $50.98 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $34.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.75 / $56.75 / $56.75
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.81 / $34.72 / $407.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.19 / $34.72 / $67.97