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Alaska rates for HCPCS V2103

Spherocylinder Single Vision Plano To Plus Or Minus 4.00d Sphere .12 To 2.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $42.94 / $43.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.88 / $43.53 / $52.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.44 / $45.73 / $52.00
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
$29.14 / $43.53 / $52.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $53.59 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.73 / $22.82 / $90.64