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Texas rates for HCPCS V2784

Lens, polycarbonate or equal, any index, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.12 / $45.23 / $50.16
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $45.00 / $57.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.43 / $24.43 / $24.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $115.69 / $265.36
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.05 / $287.05 / $417.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.36 / $47.63 / $57.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.06 / $50.05 / $54.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.51 / $57.28 / $68.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.50 / $47.63 / $57.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.43 / $24.43 / $52.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.17 / $31.31 / $36.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.28 / $57.28 / $77.33