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Hawaii 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
$52.44 / $96.20 / $103.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.93 / $43.93 / $131.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.92 / $167.92 / $167.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.75 / $59.38 / $149.58
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.92 / $105.02 / $114.16