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Texas 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
$33.02 / $47.09 / $52.91
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.50 / $44.26 / $51.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.22 / $26.22 / $26.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.18 / $129.51 / $295.97
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.90 / $347.90 / $543.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.49 / $50.24 / $60.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $60.42 / $60.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.41 / $60.43 / $64.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.99 / $50.24 / $60.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.22 / $26.22 / $60.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.71 / $33.59 / $39.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.43 / $60.43 / $81.58