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Idaho 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
$31.10 / $65.41 / $70.14
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
$50.76 / $65.41 / $80.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.22 / $76.09 / $80.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $124.16 / $156.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.72 / $36.00 / $37.57