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Hawaii rates for HCPCS V2112

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.83 / $56.81 / $77.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.08 / $32.08 / $96.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.71 / $122.71 / $122.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $48.14 / $109.32
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.03 / $76.75 / $83.43