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Texas 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
$40.59 / $59.49 / $66.39
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $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
$33.68 / $33.68 / $33.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.91 / $149.87 / $365.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.72 / $444.72 / $694.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.65 / $61.62 / $74.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.25 / $74.15 / $75.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $74.11 / $79.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.53 / $61.62 / $74.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $33.68 / $74.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.18 / $43.15 / $50.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.11 / $74.11 / $100.05