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Pennsylvania rates for HCPCS V2100

Sphere Single Vision Plano To Plus Or Minus 4.00 Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.42 / $37.60 / $50.58
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.76 / $57.76 / $57.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.43 / $61.43 / $61.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.57 / $22.57 / $22.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.95 / $84.88 / $136.04
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $39.00 / $39.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.42 / $38.04 / $53.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.43 / $61.43 / $61.43
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.57 / $22.57 / $22.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.28 / $41.28 / $54.98
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.28 / $54.98 / $59.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.46 / $28.82 / $48.03