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California rates for HCPCS V2103

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $32.88 / $60.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.05 / $81.05 / $81.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.17 / $45.17 / $54.42
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.57 / $113.48 / $165.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.48 / $25.00 / $49.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.40 / $40.40 / $109.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.20 / $100.00 / $217.85
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.22 / $261.22 / $408.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.99 / $44.89 / $45.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $59.83
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.73 / $84.73 / $84.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.82 / $20.36 / $62.96