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

Nebraska 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 $33$720%20%10th90th$42Professionalmedian $33 · 10th–90th $20$420%50%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
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.88
Typical High
$41.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$67.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$48.98
Typical High
$74.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$20.42
Typical High
$31.62
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$25.12
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$20.42
Typical High
$70.79