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

Oklahoma 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 $33 · 10th–90th $28$510%20%10th90th$33Professionalmedian $32 · 10th–90th $17$390%20%10th90th$32$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
Professional
Modifier
Global
Typical Low
$16.98
Median
$32.36
Typical High
$38.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$33.11
Typical High
$51.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$20.89
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$19.05
Typical High
$29.51