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Texas rates for HCPCS V2113

Spherocylinder Single Vision Plus Or Minus 7.25 To Plus Or Minus 12.00d Sphere 4.25 To 6.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.63 / $74.31 / $83.97
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $36.14 / $36.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.05 / $180.10 / $397.43
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.71 / $474.71 / $734.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.66 / $75.30 / $95.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $76.09 / $81.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.11 / $95.90 / $103.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.87 / $76.34 / $95.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $36.14 / $71.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.31 / $46.31 / $53.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $95.90 / $129.47