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Pennsylvania rates for HCPCS V2214

Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.45 / $82.82 / $117.34
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.00 / $134.00 / $134.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.50 / $128.50 / $128.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.24 / $48.24 / $48.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.71 / $174.44 / $279.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.83 / $86.45 / $117.34
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
$128.50 / $128.50 / $128.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.24 / $48.24 / $48.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.81 / $95.81 / $127.55
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.81 / $127.55 / $127.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.14 / $66.84 / $111.42