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Michigan rates for HCPCS V2304

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.69 / $67.68 / $72.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.65 / $83.65 / $83.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.47 / $87.83 / $112.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $38.71 / $121.41
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.45 / $67.68 / $78.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $18.96 / $29.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $39.29 / $59.89