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Pennsylvania rates for HCPCS V2208

Spherocylinder Bifocal Plus Or Minus 4.25 To Plus Or Minus 7.00d Sphere 2.12 To 4.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.72 / $58.91 / $83.46
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.31 / $95.31 / $95.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.98 / $92.98 / $92.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $34.54 / $34.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.85 / $120.44 / $193.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $60.77 / $83.46
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
$92.98 / $92.98 / $92.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $34.54 / $34.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.12 / $68.12 / $90.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.12 / $90.72 / $90.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.90 / $47.55 / $78.20