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Alaska rates for HCPCS V2110

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $48.98 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $63.10 / $63.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $57.54 / $67.61
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
$46.77 / $61.66 / $75.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $33.11 / $131.83