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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.80 / $55.77 / $66.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $31.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.43 / $138.13 / $165.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.83 / $64.28 / $113.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.62 / $71.66 / $79.20
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.44 / $68.40 / $75.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.83 / $65.31 / $113.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $71.79 / $103.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.47 / $32.38 / $61.77