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Idaho 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
$25.64 / $55.95 / $65.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $29.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.26 / $61.28 / $75.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.44 / $71.31 / $75.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $116.34 / $146.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.63 / $29.47 / $30.97