go back

Hawaii rates for HCPCS V2315

Lenticular, (myodisc), per lens, trifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.87 / $121.73 / $125.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $68.73 / $240.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.76 / $305.76 / $305.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.94 / $92.38 / $272.39
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.96 / $191.24 / $207.88