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Alaska rates for HCPCS V2205

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.72 / $67.75 / $74.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $33.68 / $33.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.49 / $74.58 / $89.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.15 / $74.44 / $78.36
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.09 / $74.58 / $89.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $91.46 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $39.09 / $169.34