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Pennsylvania rates for HCPCS V2304

Spherocylinder Trifocal Plano To Plus Or Minus 4.00d Sphere 2.25-4.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.33 / $66.88 / $89.17
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.84 / $101.84 / $101.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.18 / $104.18 / $104.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $38.71 / $38.71
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.60 / $141.06 / $226.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.89 / $67.68 / $89.17
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.18 / $104.18 / $104.18
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $38.71 / $38.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.79 / $72.79 / $96.93
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.79 / $96.93 / $99.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.24 / $50.80 / $84.67