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Idaho 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
$28.97 / $63.72 / $68.34
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
$48.90 / $65.19 / $78.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.72 / $74.15 / $78.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $120.98 / $152.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.64 / $33.31 / $35.01