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

Iowa 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 $41 · 10th–90th $30$580%10%20%10th90th$41Professionalmedian $33 · 10th–90th $19$450%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
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.11
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$54.95
Typical High
$67.61
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$40.74
Typical High
$48.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$40.74
Typical High
$57.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$20.42
Typical High
$37.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$79.43
Typical High
$79.43
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$58.88
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$20.42
Typical High
$70.79
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$33.11
Typical High
$33.11