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

Washington, DC 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.

Professionalmedian $33 · 10th–90th $18$440%20%10th90th$33$10.0$20.0$50.0$100.0

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
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$33.11
Typical High
$42.66
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$26.92
Typical High
$43.65