go back

California rates for HCPCS V2114

Spherocylinder Single Vision Sphere Over Plus Or Minus 12.00d Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $68.04 / $90.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.29 / $147.29 / $147.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.08 / $90.29 / $108.77
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $206.20 / $301.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $39.15 / $39.15
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $29.90 / $89.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $73.42 / $101.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.01 / $213.37 / $438.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.41 / $538.41 / $815.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.06 / $81.58 / $95.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $39.15 / $95.60
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.97 / $153.97 / $153.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.63 / $40.70 / $106.13