go back

New York rates for HCPCS V2315

Lenticular, (myodisc), per lens, trifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $120.23 / $158.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $354.81 / $354.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $74.13 / $309.03
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $144.54 / $144.54
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $177.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $194.98 / $323.59
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $87.10 / $141.25
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $173.78