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Pennsylvania rates for HCPCS V2107

Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.82 / $44.34 / $59.12
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.51 / $67.51 / $67.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.19 / $69.19 / $69.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $24.93 / $24.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.18 / $93.76 / $150.27
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.59 / $45.59 / $45.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.13 / $45.96 / $59.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.70 / $43.70 / $43.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.19 / $69.19 / $69.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $24.93 / $24.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.28 / $48.28 / $64.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.28 / $64.26 / $65.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.91 / $33.68 / $56.14