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Hawaii 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
$47.65 / $67.75 / $81.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $33.68 / $92.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.32 / $117.32 / $117.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.41 / $50.57 / $104.54
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.83 / $73.39 / $79.77