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Texas 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
$38.35 / $54.55 / $60.33
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.50 / $48.95 / $60.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.47 / $157.65 / $343.71
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.78 / $391.78 / $612.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.89 / $57.29 / $68.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $58.15 / $58.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.45 / $68.90 / $74.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.89 / $57.29 / $68.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $58.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.45 / $37.65 / $43.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.90 / $68.90 / $93.02