go back

Hawaii rates for HCPCS V2210

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.69 / $75.89 / $99.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.03 / $41.03 / $112.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.91 / $142.91 / $142.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.39 / $61.60 / $127.31
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.04 / $89.38 / $97.16