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Alaska rates for HCPCS V2113

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.62 / $64.89 / $65.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $36.14 / $36.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.62 / $64.73 / $74.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $61.50 / $76.09
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
$53.76 / $61.62 / $74.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $75.86 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $37.57 / $181.74