go back

California rates for HCPCS V2107

Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.45 / $44.34 / $58.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.09 / $121.09 / $121.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.40 / $57.48 / $69.25
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.99 / $169.54 / $247.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $24.93 / $24.93
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.89 / $25.00 / $73.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $60.36 / $87.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.25 / $115.32 / $318.58
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.40 / $332.40 / $519.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.07 / $67.06 / $67.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $24.93 / $71.75
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.59 / $126.59 / $126.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.96 / $25.91 / $87.26