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Minnesota 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
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $67.61 / $77.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $83.18 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $83.18 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $269.15 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $102.33 / $123.03
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $245.47 / $512.86
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $97.72 / $131.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $75.86 / $83.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $34.67 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $39.81 / $87.10