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New York rates for HCPCS V2203

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Facilitymedian $112 · 10th–90th $48$1700%20%10th90th$112Professionalmedian $50 · 10th–90th $28$810%20%10th90th$50$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $50.12 / $61.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $169.82 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $35.48 / $147.91
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $69.18 / $69.18
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $83.18
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $97.72 / $144.54
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $50.12 / $70.79
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $81.28 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $50.12 / $107.15
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $50.12 / $83.18