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Texas rates for HCPCS V2304

Spherocylinder Trifocal Plano To Plus Or Minus 4.00d Sphere 2.25-4.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.56 / $70.13 / $77.06
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.37 / $68.90 / $86.12
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $38.71 / $38.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.59 / $169.81 / $462.08
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.06 / $500.06 / $781.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.86 / $71.61 / $86.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.20 / $79.05 / $98.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.81 / $86.12 / $92.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $71.61 / $86.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $38.71 / $79.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.53 / $49.60 / $57.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.12 / $86.12 / $116.26