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Single Vision Spherocylinder, Plano to +/-4.00d/0.12-2.00d

Alaska rates for HCPCS V2103

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Rates data updated July 2026.

Facilitymedian $45 · 10th–90th $33$520%20%10th90th$45Professionalmedian $42 · 10th–90th $17$520%20%10th90th$42$10.0$50.0$200.0$1.0K$5.0K

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
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$38.02
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$53.70
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$44.67
Typical High
$52.48
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$46.77
Typical High
$52.48
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$43.65
Typical High
$52.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$20.42
Typical High
$32.36