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Michigan rates for HCPCS V2784

Lens, polycarbonate or equal, any index, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $44.64 / $48.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.44 / $48.44 / $48.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.99 / $56.99 / $56.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.14 / $59.84 / $76.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $24.43 / $82.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $43.39 / $50.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.88 / $26.29 / $36.99