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California rates for HCPCS V2203

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.64 / $50.01 / $66.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.01 / $138.01 / $138.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $68.70 / $82.77
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $193.22 / $282.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $29.80
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.76 / $40.00 / $84.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $68.80 / $95.55
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.84 / $131.38 / $363.09
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.30 / $397.30 / $620.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.92 / $76.44 / $76.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $89.58
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.28 / $144.28 / $144.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.63 / $30.97 / $99.08