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Oregon 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 / $71.26 / $76.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $39.15 / $39.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.28 / $173.03 / $206.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.57 / $84.56 / $131.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $68.93 / $91.64
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $85.23 / $100.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.57 / $83.07 / $132.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $71.75 / $90.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.31 / $40.70 / $77.65