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New York rates for HCPCS V2114

Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $67.61 / $95.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $223.87 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $46.77 / $194.98
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $91.20 / $91.20
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $125.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $128.82 / $204.17
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $66.07 / $109.65
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $107.15 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $53.70 / $81.28
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $66.07 / $109.65