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California rates for HCPCS V2108

Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.21 / $44.36 / $57.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.12 / $115.12 / $115.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.46 / $59.53 / $71.72
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.60 / $161.15 / $235.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.82 / $25.82 / $25.82
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.18 / $25.00 / $70.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $57.38 / $79.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.45 / $115.65 / $302.86
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.54 / $339.54 / $517.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.35 / $63.76 / $63.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.82 / $25.82 / $71.75
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.33 / $120.33 / $120.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.81 / $26.83 / $76.51