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Washington rates for HCPCS V2215

Lenticular (myodisc), per lens, bifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.13 / $102.79 / $106.63
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.24 / $549.76 / $10,000.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.10 / $794.30 / $877.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.97 / $48.97 / $48.97
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.61 / $122.67 / $305.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.27 / $122.54 / $227.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.92 / $122.95 / $125.90
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $50.90 / $97.11