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Pennsylvania rates for HCPCS V2100

Sphere, single vision, plano to plus or minus 4.00, per lens

Facilitymedian $59 · 10th–90th $59–$850%50%90th$59Professionalmedian $38 · 10th–90th $19–$500%10%10th90th$38$1.0$5.0$20.0$100.0

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
$19.50 / $38.90 / $50.12
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $93.33 / $138.04
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $45.71 / $58.88
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $38.90 / $50.12
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $25.12
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $53.70 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $28.84 / $44.67