go back

Oregon rates for HCPCS V2784

Lens, Polycarbonate Or Equal, Any Index, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $45.40 / $48.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.43 / $24.43 / $24.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.61 / $108.24 / $129.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.47 / $48.16 / $83.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.76 / $44.01 / $58.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.31 / $55.61 / $58.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.59 / $50.05 / $96.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.43 / $52.93 / $2,550,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.90 / $25.40 / $48.45