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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
$70.06 / $70.06 / $70.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.95 / $67.68 / $77.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.65 / $83.65 / $83.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.97 / $83.65 / $83.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.56 / $238.44 / $299.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.10 / $106.84 / $123.35
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.56 / $236.08 / $495.29
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $97.13 / $97.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.51 / $77.06 / $87.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.82 / $33.53 / $75.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.82 / $33.53 / $75.17