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

Missouri 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 $40 · 10th–90th $29$710%20%10th90th$40Professionalmedian $33 · 10th–90th $17$420%20%10th90th$33$1.0$5.0$20.0$100.0$500.0

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
$33.88
Typical High
$41.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$21.38
Typical High
$38.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$40.74
Typical High
$70.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$20.42
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$20.42
Typical High
$30.90