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Oklahoma rates for HCPCS V2103

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $33.88 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $33.11 / $51.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $20.89 / $48.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $20.42 / $29.51