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New York 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
$26.80 / $51.34 / $61.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.44 / $152.93 / $169.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.60 / $36.28 / $135.66
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.83 / $70.79 / $70.79
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.58 / $83.58 / $83.58
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
$84.96 / $103.27 / $184.36
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.66 / $48.66 / $48.66
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.66 / $48.66 / $84.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.58 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $31.15 / $146.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.26 / $42.39 / $73.23
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.66 / $51.70 / $84.96