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Washington rates for HCPCS V2311

Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.15 / $88.20 / $106.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.57 / $572.04 / $10,000.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.30 / $636.12 / $786.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $51.33 / $51.33
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.02 / $121.57 / $293.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $122.98 / $238.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.50 / $104.43 / $106.94
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $53.35 / $101.78