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Arizona rates for HCPCS V2103

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

Facilitymedian $35 · 10th–90th $19–$560%10%20%10th90th$35Professionalmedian $33 · 10th–90th $17–$420%20%10th90th$33$10.0$20.0$50.0$100.0$200.0

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
$16.98 / $33.88 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $33.88 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $35.48 / $56.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $20.42 / $263.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $20.42 / $30.90