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Washington rates for HCPCS V2755

U-V lens, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $16.84 / $18.69
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $101.04 / $10,000.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $131.57 / $146.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $9.57
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.95 / $22.83 / $56.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $22.91 / $43.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.58 / $20.85 / $21.35
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $9.94 / $18.97