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Hawaii 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
$37.28 / $46.43 / $63.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.22 / $26.22 / $77.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.90 / $98.90 / $98.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.34 / $39.36 / $88.10
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.85 / $61.85 / $67.23