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Pennsylvania rates for HCPCS V2201

Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $54.95 / $74.13
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $131.83 / $194.98
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $69.18 / $89.13
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $53.70 / $75.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $34.67 / $39.81
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $61.66 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $43.65 / $61.66