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Washington rates for HCPCS V2399

Specialty trifocal (by report)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.64 / $83.47 / $83.47
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $10,000.00 / $10,000.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $10,000.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.20 / $385.20 / $385.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $80.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.20 / $37.20 / $37.20
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