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California rates for HCPCS V2101

Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.45 / $39.79 / $56.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.80 / $113.80 / $113.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.02 / $54.83 / $66.06
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.63 / $159.33 / $232.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $23.78 / $23.78
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $25.00 / $69.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.73 / $56.73 / $78.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.39 / $108.85 / $299.39
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.98 / $328.98 / $495.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $63.03 / $66.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $23.78 / $71.75
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.97 / $118.97 / $118.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.85 / $24.71 / $80.34