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Maryland rates for HCPCS V2301

Sphere Trifocal Plus Or Minus 4.12 To Plus Or Minus 7.00d Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.19 / $73.20 / $97.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.08 / $78.08 / $78.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.32 / $44.32 / $44.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.74 / $114.80 / $167.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.07 / $55.60 / $71.18