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Texas rates for HCPCS V2301

Sphere Trifocal Plus Or Minus 4.12 To Plus Or Minus 7.00d Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.27 / $83.01 / $106.42
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.32 / $44.32 / $44.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.03 / $213.88 / $508.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.62 / $601.62 / $733.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.09 / $94.71 / $121.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.69 / $90.45 / $103.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $121.54 / $130.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.09 / $95.95 / $121.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.32 / $44.32 / $90.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.39 / $56.78 / $66.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.54 / $121.54 / $164.08