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Oregon 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
$20.32 / $45.14 / $48.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.29 / $104.67 / $127.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.65 / $50.52 / $89.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.50 / $52.00 / $62.25
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $50.40 / $59.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.65 / $51.35 / $89.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $56.43 / $71.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.11 / $24.56 / $46.85