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Oregon rates for HCPCS V2204

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens

Facilitymedian $74 · 10th–90th $56–$780%50%10th90th$74Professionalmedian $55 · 10th–90th $26–$740%20%10th90th$55$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $54.95 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $141.25 / $173.78
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $61.66 / $77.62
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $60.26 / $81.28
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $74.13 / $75.86
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $64.57 / $77.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $72.44 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $32.36 / $48.98