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Hawaii 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
$45.69 / $65.73 / $76.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.19 / $32.19 / $105.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.84 / $133.84 / $133.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.20 / $89.39 / $119.24
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.65 / $83.71 / $90.99