go back

Texas 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
$31.49 / $45.14 / $57.84
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $49.55 / $66.06
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $23.78 / $23.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $108.85 / $299.39
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.98 / $328.98 / $495.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.72 / $52.15 / $66.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.76 / $52.53 / $56.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.76 / $66.06 / $70.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.72 / $52.67 / $66.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $23.78 / $52.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.60 / $30.47 / $35.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.06 / $66.06 / $89.18