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Alaska rates for HCPCS V2301

Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.73 / $78.48 / $107.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.32 / $44.32 / $44.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.65 / $107.66 / $129.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.45 / $107.45 / $113.11
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
$65.92 / $107.66 / $129.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.32 / $111.58 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.25 / $56.42 / $222.84