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Missouri rates for HCPCS V2114

Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens

Facilitymedian $81 · 10th–90th $59–$1410%20%10th90th$81Professionalmedian $66 · 10th–90th $34–$870%10%20%10th90th$66$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $67.61 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $46.77 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $81.28 / $141.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $40.74 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $40.74 / $57.54