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Idaho 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
$38.13 / $78.48 / $83.37
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
$60.30 / $79.50 / $95.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.86 / $90.45 / $98.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $147.58 / $185.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.59 / $43.84 / $46.07