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Pennsylvania rates for HCPCS V2101

Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens

Facilitymedian $62 · 10th–90th $62–$910%50%90th$62Professionalmedian $41 · 10th–90th $21–$560%10%20%10th90th$41$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
$20.89 / $40.74 / $53.70
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
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $97.72 / $144.54
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $47.86 / $61.66
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
$19.95 / $39.81 / $53.70
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
$23.44 / $51.29 / $144.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $30.20 / $46.77