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Pennsylvania rates for HCPCS 66986

Exchange of intraocular lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.20 / $5,079.00 / $9,534.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$655.22 / $725.40 / $725.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.41 / $894.62 / $1,464.37
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$128.44 / $135.29 / $182.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.19 / $830.09 / $1,488.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.90 / $913.10 / $1,634.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.00 / $892.00 / $892.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.58 / $937.48 / $1,626.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $878.75 / $1,361.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.86 / $6,594.52 / $13,441.25
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.16 / $1,083.38 / $1,356.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.00 / $5,473.52 / $9,676.00
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$725.40 / $725.40 / $725.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.32 / $956.37 / $2,843.00
Martin's Point
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$129.72 / $141.24 / $352.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.10 / $1,011.10 / $1,011.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.00 / $892.00 / $892.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.43 / $953.07 / $1,639.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.47 / $865.47 / $984.90
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.75 / $865.47 / $984.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.00 / $2,884.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.31 / $991.61 / $1,645.22