go back

Alaska rates for HCPCS V2212

Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.63 / $103.73 / $106.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.93 / $43.93 / $43.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.92 / $106.78 / $128.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $106.58 / $112.19
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
$65.34 / $106.78 / $128.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.93 / $121.48 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.22 / $55.96 / $203.21