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Hawaii rates for HCPCS V2121

Lenticular Lens, Per Lens, Sngle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.04 / $79.81 / $83.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $190.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.06 / $242.06 / $242.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.50 / $54.52 / $215.64
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.05 / $151.40 / $164.57