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Oregon 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 / $53.91 / $62.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $28.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.03 / $126.04 / $150.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.49 / $57.18 / $99.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.56 / $55.01 / $69.33
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $59.51 / $66.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.49 / $58.54 / $99.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $62.85 / $71.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.25 / $29.69 / $56.64