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Pennsylvania rates for HCPCS V2102

Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.78 / $56.85 / $78.08
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.17 / $89.17 / $89.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.57 / $90.57 / $90.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.45 / $33.45 / $33.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.15 / $103.58 / $166.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.78 / $56.85 / $78.08
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
$90.57 / $90.57 / $90.57
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.45 / $33.45 / $33.45
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.75 / $63.75 / $84.87
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $84.87 / $88.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.76 / $44.48 / $74.14