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Idaho 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
$22.56 / $48.58 / $55.69
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
$37.65 / $51.93 / $63.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.67 / $60.42 / $63.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.53 / $98.58 / $124.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.19 / $25.93 / $27.25