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Hawaii rates for HCPCS V2203

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.57 / $55.95 / $71.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $92.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.29 / $117.29 / $117.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $44.36 / $104.51
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $69.81 / $79.75