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Pennsylvania rates for HCPCS V2111

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $53.70 / $70.79
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $120.23 / $181.97
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $63.10 / $81.28
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
$25.70 / $53.70 / $70.79
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
$28.84 / $57.54 / $77.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $39.81 / $60.26