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Alaska rates for HCPCS V2784

Lens, polycarbonate or equal, any index, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $45.71 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $52.48 / $58.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $51.29 / $66.07
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
$39.81 / $52.48 / $63.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $27.54 / $112.20