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Alaska rates for HCPCS V2111

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.98 / $52.03 / $73.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.98 / $73.73 / $88.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $73.59 / $77.47
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
$43.70 / $73.73 / $88.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $71.73 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.24 / $38.65 / $147.72