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Texas 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
$33.79 / $48.69 / $55.96
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $50.00 / $63.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.82 / $25.82 / $25.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.13 / $115.65 / $302.86
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.54 / $339.54 / $517.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $51.20 / $63.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.41 / $51.10 / $54.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.71 / $63.91 / $68.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.57 / $51.29 / $63.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.82 / $25.82 / $51.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.36 / $33.08 / $38.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.91 / $63.91 / $86.28