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Single Vision Spherocylinder, Plano to +/-4.00d/2.12-4.00d

Arkansas rates for HCPCS V2104

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens

Rates data updated July 2026.

Facilitymedian $181,970 · 10th–90th $39$537,0320%20%10th90th$181,970Professionalmedian $39 · 10th–90th $25$430%20%40%10th90th$39$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$38.90
Typical High
$42.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$181,970.09
Median
$181,970.09
Typical High
$537,031.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$58.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$22.39
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$22.39
Typical High
$32.36