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Idaho 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
$33.68 / $74.30 / $85.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $39.15 / $39.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.30 / $71.43 / $87.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.59 / $82.92 / $87.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $135.28 / $170.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.63 / $39.00 / $58.32