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Hawaii 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
$71.34 / $109.65 / $141.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.92 / $61.92 / $189.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.54 / $241.54 / $241.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.39 / $87.13 / $215.19
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.75 / $151.08 / $164.22