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Texas 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
$42.66 / $72.44 / $95.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $812.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $85.11 / $112.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $81.28 / $95.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $51.29 / $51.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $34.67 / $112.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $83.18 / $112.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $50.12 / $58.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20