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New York 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
$21.45 / $41.84 / $51.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.88 / $124.65 / $138.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.41 / $29.57 / $110.58
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.66 / $57.70 / $57.70
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.70 / $57.70 / $57.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.19 / $69.19 / $69.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $24.93 / $24.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.25 / $90.00 / $150.27
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.65 / $39.65 / $39.65
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.65 / $39.65 / $69.25
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.19 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $24.93 / $119.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.04 / $34.54 / $59.70
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.65 / $42.13 / $69.25