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New Jersey rates for HCPCS V2107

Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $46.77 / $53.70
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $77.62 / $95.50
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $34.67 / $42.66