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Pennsylvania rates for HCPCS 92015

Determination Refractive State

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.30 / $9.31 / $14.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.02 / $20.88 / $47.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.80 / $19.14 / $43.60
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.61 / $24.10 / $63.63
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.07 / $19.79 / $124.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.21 / $21.20 / $54.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.98 / $28.34 / $28.34
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $19.04 / $32.13
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.25 / $24.10 / $35.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.30 / $9.31 / $14.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $21.88 / $48.06
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $27.32
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $20.87 / $47.15
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.16 / $27.16 / $27.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.12 / $21.57 / $47.29