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Alaska rates for HCPCS V2209

Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.84 / $71.17 / $85.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.20 / $37.20 / $37.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $85.94 / $103.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $85.78 / $90.29
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
$61.79 / $85.94 / $103.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.20 / $97.37 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.75 / $45.04 / $187.01