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Oregon 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
$16.86 / $39.31 / $42.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.06 / $86.87 / $105.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.99 / $42.33 / $77.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.58 / $48.51 / $53.61
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $49.86 / $51.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.99 / $44.22 / $77.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $48.60 / $71.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $20.36 / $38.85