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Idaho 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
$20.45 / $45.14 / $56.15
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
$34.22 / $46.18 / $57.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.31 / $52.53 / $55.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $85.70 / $107.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.85 / $23.52 / $29.72