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Texas 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
$33.02 / $49.05 / $57.03
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.82 / $49.50 / $65.13
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $24.93 / $24.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $115.32 / $318.58
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.40 / $332.40 / $519.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.47 / $51.70 / $65.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.86 / $52.36 / $56.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.87 / $65.13 / $69.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.35 / $51.95 / $65.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $24.93 / $52.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.60 / $31.95 / $37.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.13 / $65.13 / $87.93