go back

New York rates for HCPCS V2121

Lenticular Lens, Per Lens, Sngle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.52 / $64.20 / $86.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.77 / $182.12 / $202.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.21 / $43.20 / $161.53
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.40 / $84.30 / $84.30
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.30 / $84.30 / $84.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.50 / $119.50 / $119.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $43.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $122.99 / $219.56
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.94 / $57.94 / $57.94
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.15 / $57.94 / $57.94
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.50 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $175.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.65 / $50.48 / $87.22
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.94 / $57.94 / $101.18