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Oklahoma rates for HCPCS V2105

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.60 / $38.08 / $44.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.28 / $44.28 / $44.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.10 / $38.08 / $58.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.37 / $24.56 / $51.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.37 / $22.81 / $35.22