go back

Washington rates for HCPCS V2313

Spherocylinder Trifocal Plus Or Minus 7.25 To Plus Or Minus 12.00d Sphere 4.25 To 6.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.60 / $100.85 / $126.49
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.22 / $641.86 / $10,000.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.66 / $859.86 / $891.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.66 / $57.66 / $57.66
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.32 / $136.21 / $338.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.17 / $138.21 / $267.54
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
$49.00 / $120.63 / $123.53
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
$55.40 / $59.93 / $114.33