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Pennsylvania rates for HCPCS V2200

Sphere, Bifocal, Plano To Plus/Minus 4.00d, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.41 / $49.17 / $69.66
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.55 / $79.55 / $79.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.30 / $79.30 / $79.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.54 / $29.54 / $29.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.26 / $111.10 / $178.05
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.72 / $53.72 / $53.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.41 / $49.57 / $69.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $40.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.30 / $79.30 / $79.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.54 / $29.54 / $29.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.88 / $56.88 / $75.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.88 / $75.72 / $78.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.70 / $39.69 / $66.15