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Hawaii rates for HCPCS V2108

Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.46 / $57.95 / $62.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.82 / $25.82 / $78.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.52 / $100.52 / $100.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $38.76 / $89.55
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.82 / $62.87 / $68.34