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New York rates for HCPCS G0117

Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $51.51 / $72.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.88 / $66.91 / $139.43
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.65 / $80.65 / $80.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $56.24 / $56.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.86 / $81.26 / $127.21
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $78.26 / $117.22
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $56.24 / $101.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.67 / $48.85 / $108.70
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.08 / $68.40 / $117.22