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Minnesota 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
Facility
Modifier
Low / Median / High Price
$61.84 / $61.84 / $61.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.72 / $61.44 / $67.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.83 / $73.83 / $73.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.87 / $73.83 / $73.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.37 / $210.67 / $264.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.36 / $94.05 / $108.59
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.37 / $208.58 / $437.60
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $85.50 / $85.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.10 / $65.84 / $77.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.34 / $29.41 / $66.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.34 / $29.41 / $113.55