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California rates for HCPCS V2111

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.28 / $52.71 / $65.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.65 / $130.65 / $130.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.35 / $67.73 / $81.62
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.00 / $182.92 / $267.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.74 / $79.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.12 / $65.12 / $90.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.92 / $157.65 / $343.71
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.78 / $391.78 / $612.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.52 / $72.36 / $73.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $71.75
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.58 / $136.58 / $136.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.24 / $30.54 / $94.15