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California rates for HCPCS V2106

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.56 / $45.25 / $55.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.50 / $112.50 / $112.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $60.45 / $72.83
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.68 / $157.50 / $230.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.22 / $26.22 / $26.22
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $31.14 / $68.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.08 / $56.08 / $77.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.35 / $129.51 / $295.97
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.90 / $347.90 / $543.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.49 / $62.31 / $63.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.22 / $26.22 / $73.02
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.60 / $117.60 / $117.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.19 / $27.73 / $80.76