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Hawaii 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
$41.98 / $52.03 / $70.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $91.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.96 / $115.96 / $115.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.91 / $43.63 / $103.31
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.01 / $72.53 / $78.84