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Pennsylvania rates for HCPCS V2202

Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.21 / $63.57 / $92.14
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.23 / $105.23 / $105.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.21 / $100.21 / $100.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.88 / $37.88 / $37.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.87 / $136.47 / $218.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.59 / $65.03 / $92.14
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
$100.21 / $100.21 / $100.21
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.88 / $37.88 / $37.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.23 / $75.23 / $100.16
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.23 / $100.16 / $100.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $52.50 / $86.36