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New Jersey rates for HCPCS V2204

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.46 / $53.48 / $67.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $31.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.21 / $93.46 / $114.70
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.23 / $69.23 / $69.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.58 / $43.17 / $50.98