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Arizona rates for HCPCS V2105

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

Facilitymedian $45 · 10th–90th $23–$660%10%20%10th90th$45Professionalmedian $42 · 10th–90th $21–$480%20%10th90th$42$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
$20.89 / $41.69 / $47.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $38.90 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $44.67 / $66.07
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $24.55 / $316.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $24.55 / $37.15