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Pennsylvania rates for HCPCS V2221

Lenticular lens, per lens, bifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.97 / $80.67 / $99.59
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.73 / $113.73 / $113.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.08 / $138.08 / $138.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.89 / $50.89 / $50.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.66 / $157.13 / $251.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.97 / $81.08 / $100.37
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
$138.08 / $138.08 / $138.08
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.89 / $50.89 / $50.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.31 / $81.31 / $108.25
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.31 / $108.25 / $110.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.28 / $56.74 / $94.57