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Texas rates for HCPCS V2100

Sphere, single vision, plano to plus or minus 4.00, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.20 / $43.45 / $50.52
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.74 / $47.31 / $57.70
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.57 / $22.57 / $22.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $113.27 / $250.76
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.20 / $312.20 / $470.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.70 / $45.99 / $57.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.31 / $51.07 / $54.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.81 / $57.70 / $61.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.60 / $46.07 / $57.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.57 / $22.57 / $51.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $28.91 / $33.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.70 / $57.70 / $77.90