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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
$26.92 / $46.77 / $57.54
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $44.67 / $66.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $524.81 / $524.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $51.29 / $66.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $50.12 / $57.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $30.90 / $30.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $34.67 / $66.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $51.29 / $66.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $31.62 / $37.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07