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Alaska rates for HCPCS V2755

U-V lens, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.51 / $17.42 / $17.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $9.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.51 / $14.14 / $17.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.48 / $14.19 / $20.28
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
$13.51 / $14.19 / $17.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $16.63 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $9.19 / $48.10