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Hawaii 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
$33.97 / $53.00 / $56.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $23.78 / $78.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $35.29 / $89.09
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.51 / $62.55 / $67.98