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New York rates for HCPCS V2715

Prism, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.96 / $12.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $38.02 / $38.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $7.94 / $33.11
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $15.49 / $15.49
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $20.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.12 / $40.74
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $10.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $9.33 / $15.14
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $10.72 / $18.62