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Washington rates for HCPCS V2630

Anterior Chamber Intraocular Lens (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.72 / $117.46 / $135.97
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.10 / $207.16 / $668.63
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.05 / $157.16 / $1,046.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.29 / $58.29 / $58.29
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.72 / $149.87 / $279.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.25 / $155.69 / $302.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.08 / $148.10 / $151.65
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.52 / $139.52 / $157.16
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.10 / $125.10 / $125.10
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.59 / $139.52 / $160.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.16 / $157.16 / $157.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.65 / $67.09 / $115.58