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Alaska rates for HCPCS V2204

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens

Facilitymedian $78 · 10th–90th $54–$810%50%10th90th$78Professionalmedian $56 · 10th–90th $26–$760%20%10th90th$56$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $56.23 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $93.33
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $77.62 / $81.28
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $72.44 / $81.28
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,000.00 / $10,000.00 / $10,000.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $75.86 / $81.28
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $93.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $39.81 / $40.74