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Pennsylvania rates for HCPCS V2106

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $45.25 / $63.77
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.83 / $72.83 / $72.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.70 / $70.70 / $70.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.22 / $26.22 / $26.22
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.73 / $98.14 / $157.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.96 / $45.45 / $63.77
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
$70.70 / $70.70 / $70.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.22 / $26.22 / $26.22
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.07 / $52.07 / $69.31
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.07 / $69.31 / $69.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.25 / $36.34 / $60.56