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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
$33.11 / $58.88 / $66.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $74.13 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $109.65
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $58.88 / $72.44
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $34.67 / $52.48