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Texas 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

Facilitymedian $55 · 10th–90th $40–$910%10%20%10th90th$55Professionalmedian $50 · 10th–90th $27–$620%20%10th90th$50$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $52.48 / $61.66
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $45.71 / $61.66
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $575.44 / $575.44
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $54.95 / $72.44
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $52.48 / $64.57
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $28.84 / $30.20
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $63.10 / $151.36
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $53.70 / $72.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $36.31 / $42.66
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10