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Pennsylvania rates for HCPCS V2212

Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.65 / $72.15 / $96.20
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.86 / $109.86 / $109.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.39 / $118.39 / $118.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.93 / $43.93 / $43.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.15 / $138.04 / $221.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.65 / $76.09 / $96.20
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
$118.39 / $118.39 / $118.39
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.93 / $43.93 / $43.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.55 / $78.55 / $104.57
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.55 / $104.57 / $104.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.66 / $54.81 / $86.60