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Hawaii rates for HCPCS V2305

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.28 / $84.11 / $103.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.86 / $44.86 / $119.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.10 / $152.10 / $152.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $63.73 / $135.47
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.50 / $95.12 / $103.40