go back

Alaska rates for HCPCS V2105

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.85 / $48.40 / $50.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.59 / $50.58 / $60.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.49 / $52.00 / $56.33
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
$35.14 / $50.58 / $60.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $62.28 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.70 / $26.51 / $118.79