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Pennsylvania rates for HCPCS V2203

Spherocylinder Bifocal Plano To Plus Or Minus 4.00d Sphere .12 To 2.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.64 / $50.01 / $71.88
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $82.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.37 / $80.37 / $80.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $29.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.05 / $112.07 / $179.61
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.43 / $55.43 / $61.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $50.73 / $71.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $58.30 / $58.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.37 / $80.37 / $80.37
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $29.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.69 / $58.69 / $78.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.69 / $78.13 / $78.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.97 / $40.95 / $67.37