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Pennsylvania rates for HCPCS V2114

Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.84 / $67.22 / $95.25
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.77 / $108.77 / $108.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.69 / $107.69 / $107.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $39.15 / $39.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.65 / $147.27 / $236.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.82 / $68.04 / $95.25
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
$107.69 / $107.69 / $107.69
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $39.15 / $39.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.77 / $77.77 / $103.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.77 / $103.53 / $103.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.70 / $54.26 / $85.79