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

Massachusetts 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 $42 · 10th–90th $35$600%20%10th90th$42Professionalmedian $33 · 10th–90th $17$430%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
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$33.11
Typical High
$42.66
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$39.81
Typical High
$60.26
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$27.54
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$60.26
Typical High
$60.26
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$35.48
Typical High
$35.48
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$39.81
Typical High
$60.26
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$27.54
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$26.92
Typical High
$36.31