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Hawaii 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
$35.61 / $47.63 / $59.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $24.93 / $83.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.65 / $106.65 / $106.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.29 / $37.02 / $95.00
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.46 / $66.70 / $72.50