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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
$38.90 / $72.44 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $70.79 / $81.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $72.44 / $81.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $7.94
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $79.43 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $34.67 / $37.15