go back

Idaho rates for HCPCS V2784

Lens, polycarbonate or equal, any index, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.02 / $45.40 / $48.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.43 / $24.43 / $24.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.24 / $47.04 / $55.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.80 / $52.83 / $58.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $86.20 / $108.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.48 / $24.17 / $25.40