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Alaska rates for HCPCS V2101

Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.14 / $56.15 / $63.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $23.78 / $23.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.90 / $63.58 / $76.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $63.46 / $66.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.36 / $63.58 / $76.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $64.79 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $33.32 / $119.55