go back

Alaska rates for HCPCS V2106

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.43 / $51.93 / $62.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.22 / $26.22 / $26.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $62.86 / $75.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $62.74 / $66.04
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
$38.99 / $62.86 / $75.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.22 / $74.53 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.39 / $32.95 / $131.82