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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