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Oklahoma rates for HCPCS V2103

Spherocylinder Single Vision Plano To Plus Or Minus 4.00d Sphere .12 To 2.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.79 / $32.90 / $35.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $38.25 / $38.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.46 / $32.90 / $50.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $20.89 / $44.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $19.70 / $29.22