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Bifocal Lens, Sphere Plano to +/-4.00d, Cylinder 4.25-6.00d

Washington rates for HCPCS V2205

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

Rates data updated July 2026.

Facilitymedian $78 · 10th–90th $50$1860%10%10th90th$78Professionalmedian $59 · 10th–90th $29$910%10%20%10th90th$59$20.0$100.0$500.0$2.0K$10.0K

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
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$58.88
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$79.43
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$79.43
Typical High
$154.88
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$77.62
Typical High
$77.62
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$34.67
Typical High
$66.07
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$93.33