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Alaska rates for HCPCS V2103

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Facilitymedian $45 · 10th–90th $33–$520%20%10th90th$45Professionalmedian $35 · 10th–90th $16–$550%20%10th90th$35$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $34.67 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $53.70
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $44.67 / $52.48
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $46.77 / $54.95
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,000.00 / $10,000.00 / $10,000.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $43.65 / $52.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $25.12 / $25.70