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Pennsylvania rates for HCPCS V2108

Spherocylinder Single Vision Plus Or Minus 4.25d To Plus Or Minus 7.00d Sphere 2.12 To 4.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.72 / $44.36 / $62.80
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.72 / $71.72 / $71.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.56 / $70.56 / $70.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.82 / $25.82 / $25.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.83 / $93.34 / $149.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.53 / $46.09 / $62.80
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
$70.56 / $70.56 / $70.56
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.82 / $25.82 / $25.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.27 / $51.27 / $68.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.27 / $68.26 / $68.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.83 / $35.78 / $56.56