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Pennsylvania rates for HCPCS V2209

Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $66.84 / $89.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.94 / $101.94 / $101.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.35 / $99.35 / $99.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.20 / $37.20 / $37.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.48 / $122.46 / $196.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.93 / $66.95 / $89.26
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
$99.35 / $99.35 / $99.35
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.20 / $37.20 / $37.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.87 / $72.87 / $97.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.87 / $97.03 / $97.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $50.86 / $84.76