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Michigan rates for HCPCS V2321

Lenticular Lens, Per Lens, Trifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.87 / $114.21 / $151.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.16 / $141.16 / $141.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.10 / $148.22 / $190.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.55 / $67.76 / $204.38
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $114.21 / $151.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.14 / $66.29 / $89.60