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New Jersey rates for HCPCS V2109

Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $50.97 / $64.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $28.56
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.50 / $84.34 / $103.50
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.47 / $62.47 / $62.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.69 / $39.58 / $46.00