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Hawaii 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
$50.27 / $78.48 / $97.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.32 / $44.32 / $132.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.25 / $169.25 / $169.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.07 / $60.24 / $150.78
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.72 / $105.86 / $115.07