go back

Idaho rates for HCPCS V2109

Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.57 / $53.91 / $60.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $28.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.99 / $53.91 / $66.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.53 / $62.73 / $66.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $102.35 / $128.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.45 / $28.25 / $29.69