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Pennsylvania rates for HCPCS 92313

Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneoscleral lens

Facilitymedian $69 · 10th–90th $69–$690%50%100%$69Professionalmedian $78 · 10th–90th $36–$1620%5%10%10th90th$78$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $79.43 / $169.82
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $79.43 / $141.25
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $158.49
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $95.50 / $154.88
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $52.48 / $120.23
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $69.18 / $112.20
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $208.93
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $58.88 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $60.26 / $114.82