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Washington rates for HCPCS V2208

Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.72 / $58.77 / $65.17
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.46 / $378.38 / $10,000.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.48 / $441.79 / $651.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $34.54 / $34.54
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.53 / $82.02 / $197.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.02 / $82.78 / $160.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $70.29 / $82.65
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.98 / $71.98 / $71.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $35.90 / $68.51