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Texas 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 / $34.49 / $41.69
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.02 / $35.82 / $50.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $217.85
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.22 / $261.22 / $408.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.00 / $36.32 / $43.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $48.51 / $52.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.50 / $43.68 / $46.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.14 / $36.32 / $43.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $48.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.97 / $25.11 / $29.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.68 / $43.68 / $58.97