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

Idaho 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 $36 · 10th–90th $19$520%10%10th90th$36Professionalmedian $39 · 10th–90th $17$450%10%20%10th90th$39$5.0$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
$16.98
Median
$38.90
Typical High
$44.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$36.31
Typical High
$52.48
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$48.98
Typical High
$52.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$12.02
Select Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$52.48
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$19.50
Typical High
$25.12