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Idaho rates for HCPCS V2100

Sphere, single vision, plano to plus or minus 4.00, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.42 / $43.89 / $53.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.57 / $22.57 / $22.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.76 / $44.90 / $53.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.14 / $51.07 / $53.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $83.33 / $104.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.68 / $22.32 / $23.46