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Pennsylvania rates for HCPCS 92355

Fitting of spectacle mounted low vision aid; telescopic or other compound lens system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $41.69
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $21.38 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $26.30 / $138.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $40.74
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $25.12 / $29.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.95 / $48.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $51.29 / $56.23
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $173.78 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $20.89 / $102.33