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New York rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $60.25 / $86.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.52 / $165.02 / $183.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.99 / $39.14 / $146.36
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.03 / $76.38 / $76.38
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.38 / $76.38 / $76.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.44 / $115.44 / $115.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $42.61
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $111.44 / $198.95
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.50 / $52.50 / $52.50
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.69 / $52.50 / $52.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.44 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $158.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.49 / $45.74 / $78.63
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.50 / $57.28 / $91.68