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New Jersey rates for HCPCS V2105

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.89 / $42.07 / $51.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.92 / $72.20 / $88.61
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.48 / $53.48 / $53.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.56 / $35.08 / $39.38