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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
$33.11 / $70.79 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $173.78 / $218.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $74.13 / $112.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $70.79 / $93.33
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $87.10 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $77.62 / $112.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $72.44 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $40.74 / $61.66