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Pennsylvania rates for HCPCS V2111

Spherocylinder Single Vision Plus Or Minus 7.25 To Plus Or Minus 12.00d Sphere .25 To 2.25d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.89 / $52.71 / $70.28
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.26 / $80.26 / $80.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.20 / $80.20 / $80.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.78 / $110.51 / $177.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.50 / $54.15 / $70.28
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
$80.20 / $80.20 / $80.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.40 / $57.40 / $76.39
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.40 / $76.39 / $77.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.54 / $40.04 / $66.73