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Texas 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
$40.51 / $54.21 / $61.13
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.14 / $57.25 / $76.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $29.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.73 / $131.38 / $363.09
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.30 / $397.30 / $620.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.48 / $58.04 / $69.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.07 / $71.31 / $80.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $69.81 / $75.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.92 / $58.04 / $69.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $71.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.81 / $38.18 / $44.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.81 / $69.81 / $94.26