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Maine rates for HCPCS V2205

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $42.44 / $61.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.93 / $173.93 / $173.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.37 / $93.56 / $93.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $33.68 / $33.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.31 / $60.31 / $60.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $42.44 / $61.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.89 / $36.90 / $84.85