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Maine rates for HCPCS V2304

Spherocylinder Trifocal Plano To Plus Or Minus 4.00d Sphere 2.25-4.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.69 / $51.52 / $71.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.21 / $211.21 / $211.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.01 / $107.53 / $107.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $38.71 / $38.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.23 / $73.23 / $73.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.69 / $51.52 / $71.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.08 / $42.63 / $103.02