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Alaska rates for HCPCS V2201

Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.71 / $65.73 / $85.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.19 / $32.19 / $32.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.02 / $85.08 / $102.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.95 / $84.91 / $89.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.94 / $85.08 / $102.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.19 / $90.00 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.13 / $44.59 / $148.88