Savings
Dental Savings
Code
|
Description
|
Regular Costs
|
Your Costs
|
Your Savings
|
0120 |
Periodic Oral Exam |
$47 |
$17 |
64% |
1110 |
Adult Dental Cleaning |
$86 |
$38 |
56% |
2160 |
Silver Filling Restoration |
$197 |
$68 |
66% |
2750 |
Pocelain Crown |
$1032 |
$595 |
43% |
3330 |
Root Canal – Molar Excluding Final Resortation |
$941 |
$339 |
64% |
7140 |
Extraction Erupted Tooth or Exposed Root |
$156 |
$68 |
57% |
Vision Savings
Frames
|
Your Costs
|
Your Savings
|
Priced up to $60 retail |
$25 |
60% |
Priced from $61-$80 retail |
$35 |
55% |
Priced from $81-$100 retail |
$45 |
55% |
Lenses
|
Your Costs
|
Your Savings
|
Single Vision |
$30 |
50% |
Bifocal |
$50 |
45% |
Trifocal |
$60 |
40% |
Lens Options (Add to lens price)
|
Your Costs
|
Your Savings
|
Standard Progressive (No-Line Bifocal) |
$50 |
25% |
Polycarbonate |
$30 |
45% |
Scratch Resistant Coating |
$12 |
40% |
Ultra-Violet Coating |
$12 |
40% |
Solid or Gradient Tint |
$8 |
45% |
Photo-Chromatic |
$30 |
55% |
Anti-Reflective Coating |
$35 |
35% |
Laser Vision Correction
|
Your Savings
|
LASIK |
$100 to $800 off both eyes |
For more information or to locate a participating provider, call us toll-free at (877)-225-4376 or 1-855-444-PERX then dial extension for Vision.