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Minnesota rates for HCPCS V2204

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

Facilitymedian $62 · 10th–90th $51–$1950%20%10th90th$62Professionalmedian $56 · 10th–90th $36–$760%10%20%10th90th$56$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $54.95 / $63.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $66.07 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $66.07 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $218.78 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $81.28 / $97.72
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $204.17 / $416.87
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $77.62 / $83.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $58.88 / $67.61
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $27.54 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $32.36 / $91.20