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Iowa rates for HCPCS V2104

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

Facilitymedian $45 · 10th–90th $35–$650%10%20%10th90th$45Professionalmedian $36 · 10th–90th $20–$460%20%10th90th$36$10.0$20.0$50.0$100.0$200.0

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $36.31 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $56.23 / $70.79
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $45.71 / $56.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $44.67 / $64.57
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $22.39 / $41.69
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $89.13 / $89.13
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $64.57 / $97.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $22.39 / $48.98
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74