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Massachusetts rates for HCPCS V2103

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

Facilitymedian $42 · 10th–90th $35–$600%20%10th90th$42Professionalmedian $33 · 10th–90th $17–$420%10%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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $32.36 / $43.65
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $39.81 / $60.26
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $26.92 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $21.88
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $60.26 / $60.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $35.48 / $35.48
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $39.81 / $60.26
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $26.92 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $21.88 / $35.48