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Washington 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
$21.88 / $43.65 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $57.54 / $141.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $56.23 / $120.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $53.70 / $67.61
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $26.92 / $51.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $72.44