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Alaska rates for HCPCS V2303

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.20 / $73.51 / $92.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $37.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.77 / $92.34 / $110.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.54 / $92.16 / $98.00
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
$55.03 / $92.34 / $110.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $105.52 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.52 / $48.40 / $171.14