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Hawaii rates for HCPCS V2304

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.58 / $75.28 / $89.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $38.71 / $119.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.49 / $151.49 / $151.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $55.04 / $134.96
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.15 / $94.75 / $102.99