Dynamic Lens Fee Schedule
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DescriptionDetailsFeeCPT Code
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BaseEDIT GREEN FIELDS ONLY
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Single vision:CR 39$50
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Bifocal:FT 25 - 28 (also Round) $90
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FT 35 - 45 & Executive$100
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Trifocal:FT 7/28$100
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FT 8/35$110
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Plano$35
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Progressive (in addition to FT28)
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VSP group – KAO Compact, Ovation$60
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VSP group – JComfort, GP Wide, Precise$70
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VSP group - F Physio, Creation, Summit$100
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VSP group - OAutograph II, Summit iQ, Physio 360/Enh$110
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VSP group - NiD LifeStyle, Individual, Physio Enh Fit$150
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ComputerBusiness, Office, Computer$60
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Extra Cost Material, Service, or Lens Design (this is added on to base lens fee)
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Polycarbonatestandard$50
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1.0 ct$60
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GlassGlass$50
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1.60$100
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Hi Index1.56\Trivex$50
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1.60$75
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1.66 & up$100
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1.70$125
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1.74$150
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Aspheric, Lenticular, & Myo Disc$40
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Special Base Curve$20
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RimlessDrilled$50
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Grooved, Rimlon$25
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Edge Polish$20
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Edge Roll$20
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Lens Treatments
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Scratch Resistant Coating$30
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ARA$50
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ARB$75
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ARCCrizal Alize$100
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ARDCrizal Avance$150
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Color Treatments
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TransitionsSV$75
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Multifocal$100
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Polarized LensesSV$75
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Multifocal$100
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Solid$20
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Gradient, Dark & Double Gradient$20
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Mirrored Coatings; Gradient & Solid$50
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UV$25
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Oversized$15
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Multifocal , 58 to 60mm$25
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Multifocal, 61mm & Greater$25
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High Lens Power Extras
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Sphere Overpowereach diopter over -5.00$5
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Cylinder Overpowereach diopter over -5.00$10
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Prismeach diopter over +/- 1$10
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each diopter over +/- 5$20
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Slab-off$70
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