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

Oregon 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 $50 · 10th–90th $35$520%50%10th90th$50Professionalmedian $35 · 10th–90th $17$450%10%20%10th90th$35$10.0$20.0$50.0$100.0

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
$34.67
Typical High
$41.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$87.10
Typical High
$109.65
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$41.69
Typical High
$52.48
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$40.74
Typical High
$54.95
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$50.12
Typical High
$51.29
Providence
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$42.66
Typical High
$52.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$48.98
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$20.42
Typical High
$34.67