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Hawaii 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
$49.69 / $70.20 / $76.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $114.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.21 / $145.21 / $145.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.11 / $51.64 / $129.36
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.41 / $90.82 / $98.72