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Pennsylvania rates for HCPCS V2303

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $67.61 / $75.86
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $141.25 / $213.80
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $69.18 / $89.13
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $64.57 / $64.57
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $67.61 / $77.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $50.12
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $61.66 / $61.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $43.65 / $69.18