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Washington rates for HCPCS V2203

Spherocylinder Bifocal Plano To Plus Or Minus 4.00d Sphere .12 To 2.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.64 / $54.21 / $61.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.84 / $327.08 / $10,000.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.60 / $397.30 / $606.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $29.80
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.71 / $74.80 / $182.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.11 / $74.73 / $138.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $72.40 / $75.06
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.63 / $30.97 / $59.09