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Oregon rates for HCPCS V2114

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

Facilitymedian $85 · 10th–90th $68–$980%50%10th90th$85Professionalmedian $71 · 10th–90th $33–$870%20%10th90th$71$10.0$20.0$50.0$100.0$200.0

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
$33.11 / $70.79 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $173.78 / $218.78
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $74.13 / $102.33
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $93.33
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $97.72
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $77.62 / $112.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $72.44 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $40.74 / $58.88