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Washington 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
$25.80 / $48.44 / $61.45
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.09 / $308.83 / $10,000.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.89 / $375.79 / $573.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.19 / $28.19 / $28.19
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.92 / $66.64 / $160.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $67.20 / $131.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.50 / $57.34 / $58.72
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
Professional
Modifier
Low / Median / High Price
$27.08 / $29.30 / $55.89