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California rates for HCPCS V2205

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.97 / $58.84 / $68.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.27 / $138.27 / $138.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.70 / $77.66 / $93.56
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $193.59 / $282.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $33.68 / $33.68
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $43.91 / $84.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.92 / $68.92 / $95.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.04 / $149.87 / $365.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.72 / $444.72 / $694.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.06 / $76.58 / $77.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $33.68 / $91.46
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.55 / $144.55 / $144.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $35.01 / $97.39