go back

Oregon 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
$21.88 / $44.67 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $114.82 / $144.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $50.12 / $67.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $43.65 / $57.54
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $53.70 / $67.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $51.29 / $64.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $52.48 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $26.92 / $40.74