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Alaska rates for HCPCS V2107

Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.01 / $47.63 / $67.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $24.93 / $24.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.01 / $67.83 / $81.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $67.70 / $71.26
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
$37.08 / $67.83 / $81.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $64.59 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.96 / $35.54 / $125.35