go back

Michigan rates for HCPCS V2313

Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.57 / $101.88 / $126.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.20 / $126.20 / $126.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.89 / $132.51 / $170.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.66 / $57.66 / $182.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $102.10 / $127.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $18.96 / $29.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.92 / $59.26 / $75.86