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California rates for HCPCS V2304

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $67.11 / $84.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.64 / $175.64 / $175.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.93 / $89.25 / $107.53
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $245.91 / $359.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $38.71 / $38.71
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.21 / $65.00 / $107.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $87.55 / $121.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.06 / $169.81 / $462.08
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.06 / $500.06 / $781.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.67 / $97.28 / $97.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $38.71 / $114.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.62 / $183.62 / $183.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.20 / $40.24 / $120.43