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California rates for HCPCS 92316

Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens for aphakia, both eyes

Facilitymedian $69 · 10th–90th $32–$1820%10%10th90th$69Professionalmedian $78 · 10th–90th $27–$1740%5%10%10th90th$78$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $79.43 / $169.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $87.10 / $223.87
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $66.07 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $74.13 / $186.21
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $47.86 / $158.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $67.61 / $165.96
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $831.76 / $831.76
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $83.18 / $177.83
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $77.62 / $204.17
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $331.13
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $33.11 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $61.66 / $125.89