go back

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
$40.74 / $72.44 / $83.18
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $30.20 / $97.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $741.31 / $741.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $77.62 / $97.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $74.13 / $83.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $45.71 / $45.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $34.67 / $97.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $77.62 / $97.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $46.77 / $53.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72