go back

Texas rates for HCPCS V2305

Spherocylinder Trifocal Plano To Plus Or Minus 4.00d Sphere 4.25 To 6.00 Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.72 / $84.11 / $93.64
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.86 / $44.86 / $44.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.82 / $189.70 / $486.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.40 / $529.40 / $806.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.88 / $88.40 / $106.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.39 / $89.08 / $98.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $106.95 / $114.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.88 / $88.92 / $106.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.86 / $44.86 / $89.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.85 / $57.47 / $66.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.95 / $106.95 / $144.38