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Hawaii rates for HCPCS V2214

Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.26 / $99.60 / $117.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.24 / $48.24 / $140.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.85 / $178.85 / $178.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.26 / $72.42 / $159.35
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.44 / $111.87 / $121.60