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Hawaii rates for HCPCS V2114

Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.94 / $85.14 / $95.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $39.15 / $88.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.34 / $112.34 / $112.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.87 / $58.79 / $100.08
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.84 / $70.26 / $76.37