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New York rates for HCPCS V2113

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.10 / $59.15 / $75.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.85 / $176.22 / $195.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.10 / $41.80 / $156.31
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $81.56 / $81.56
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.56 / $81.56 / $81.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.17 / $108.17 / $108.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $36.14 / $36.14
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $119.00 / $212.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.06 / $56.06 / $56.06
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.06 / $56.06 / $97.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.17 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $36.14 / $169.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.56 / $48.85 / $88.15
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.06 / $59.57 / $97.90