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Pennsylvania rates for HCPCS V2215

Lenticular (Myodisc), Per Lens, Bifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.46 / $84.71 / $102.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.06 / $114.06 / $114.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.07 / $139.07 / $139.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.97 / $48.97 / $48.97
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.75 / $162.16 / $259.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.46 / $87.30 / $103.91
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
$139.07 / $139.07 / $139.07
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.97 / $48.97 / $48.97
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.55 / $81.55 / $108.57
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.55 / $108.57 / $121.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.90 / $56.90 / $94.84