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California rates for HCPCS V2109

Spherocylinder Single Vision Plus Or Minus 4.25 To Plus Or Minus 7.00d Sphere 4.25 To 6.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.57 / $50.97 / $66.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.40 / $129.40 / $129.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.45 / $65.84 / $79.34
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.10 / $181.15 / $264.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $28.56
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $33.01 / $78.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.50 / $64.50 / $89.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.92 / $161.06 / $340.43
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.02 / $368.02 / $575.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.48 / $71.67 / $72.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $77.38
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.26 / $135.26 / $135.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.45 / $29.69 / $80.58