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Pennsylvania rates for HCPCS V2110

Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $50.12 / $67.61
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $114.82 / $173.78
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $61.66 / $79.43
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $50.12 / $67.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $25.12
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $56.23 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $38.90 / $58.88