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Pennsylvania rates for HCPCS V2205

Spherocylinder Bifocal Plano To Plus Or Minus 4.00d Sphere 4.25 To 6.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.53 / $59.07 / $81.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.56 / $93.56 / $93.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.90 / $89.90 / $89.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $33.68 / $33.68
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.92 / $125.45 / $201.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.06 / $59.49 / $81.92
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $40.00 / $58.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.90 / $89.90 / $89.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $33.68 / $33.68
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.89 / $66.89 / $89.05
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.89 / $89.05 / $89.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.01 / $46.68 / $77.80