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Texas 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
$41.12 / $55.36 / $62.20
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $53.27 / $60.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $31.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.01 / $135.18 / $368.51
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.81 / $407.81 / $637.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $59.06 / $71.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.38 / $71.66 / $75.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $71.03 / $76.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.27 / $59.06 / $71.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $71.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.98 / $39.90 / $46.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.03 / $71.03 / $95.89