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Alaska rates for HCPCS V2221

Lenticular Lens,Per Lens, Bifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.95 / $94.92 / $196.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.89 / $50.89 / $50.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.67 / $196.81 / $236.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.45 / $196.44 / $206.78
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
$75.68 / $196.81 / $236.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.89 / $136.25 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.29 / $103.16 / $235.37