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Hawaii rates for HCPCS V2206

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.13 / $64.08 / $88.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.19 / $36.19 / $96.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.82 / $122.82 / $122.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.45 / $54.33 / $109.41
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $76.81 / $83.50