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New York rates for HCPCS V2715

Prism, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.76 / $11.16 / $13.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.90 / $33.47 / $37.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $7.94 / $29.70
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.42 / $15.50 / $15.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.50 / $15.50 / $15.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.22 / $20.22 / $20.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $6.70 / $6.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.53 / $25.11 / $40.36
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.65 / $10.65 / $10.65
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $10.65 / $10.65
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.22 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $6.70 / $32.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.19 / $9.27 / $16.03
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.65 / $11.62 / $18.60