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New Jersey rates for HCPCS V2103

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $33.88 / $41.69
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $61.66 / $74.13
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $26.92 / $33.11