go back

Alaska rates for HCPCS V2314

Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.33 / $109.65 / $153.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.92 / $61.92 / $61.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.33 / $153.58 / $184.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.00 / $153.28 / $161.35
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.09 / $153.58 / $184.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.92 / $151.18 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.36 / $80.50 / $286.39