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Texas rates for HCPCS V2201

Sphere Bifocal Plus Or Minus 4.12 To Plus Or Minus 7.00d Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.10 / $58.33 / $65.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.19 / $32.19 / $32.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.80 / $136.68 / $406.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.48 / $426.48 / $666.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.68 / $62.24 / $74.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.12 / $72.95 / $75.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $74.84 / $80.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.68 / $62.24 / $74.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.19 / $32.19 / $73.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.88 / $41.24 / $48.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.84 / $74.84 / $101.03