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Pennsylvania rates for HCPCS V2112

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.36 / $55.05 / $77.98
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.07 / $89.07 / $89.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.00 / $88.00 / $88.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.08 / $32.08 / $32.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.01 / $120.64 / $193.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.36 / $55.57 / $77.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.20 / $56.20 / $56.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.00 / $88.00 / $88.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.08 / $32.08 / $32.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.68 / $63.68 / $84.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $84.78 / $84.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.34 / $44.44 / $74.06