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New York rates for HCPCS V2521

Contact lens, hydrophilic, toric, or prism ballast, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $181.97 / $223.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $588.84 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $123.03 / $512.86
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $239.88 / $239.88
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $338.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $389.05 / $645.65
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $144.54 / $229.09
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $288.40