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Hawaii 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
$50.36 / $64.89 / $81.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $36.14 / $76.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.89 / $96.89 / $96.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.42 / $52.34 / $86.33
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.67 / $60.61 / $65.88