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New York 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
$24.57 / $46.32 / $61.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.01 / $138.01 / $153.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.92 / $32.72 / $122.39
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.40 / $63.87 / $63.87
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.87 / $63.87 / $63.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.06 / $78.06 / $78.06
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
$76.67 / $93.19 / $166.37
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.90 / $43.90 / $43.90
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.90 / $43.90 / $76.67
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.06 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $132.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $38.24 / $69.02
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.90 / $46.65 / $76.67