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Michigan 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 / $58.84 / $61.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.83 / $73.83 / $73.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.14 / $77.52 / $99.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $33.68 / $106.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $59.07 / $67.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.61 / $14.50 / $22.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.41 / $34.65 / $56.95