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Washington rates for HCPCS V2780

Oversize lens, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.21 / $12.28 / $16.16
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $10,000.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.16 / $102.65 / $110.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $7.22 / $7.22
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.54 / $17.20 / $41.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.63 / $17.27 / $33.44
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
$14.69 / $14.69 / $15.04
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
Facility
Modifier
Low / Median / High Price
$15.04 / $15.04 / $15.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $7.51 / $14.31