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Pennsylvania rates for HCPCS V2308

Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.42 / $78.86 / $105.14
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.07 / $120.07 / $120.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.79 / $124.79 / $124.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.83 / $45.83 / $45.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.11 / $144.15 / $231.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.14 / $80.84 / $105.14
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
$124.79 / $124.79 / $124.79
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.83 / $45.83 / $45.83
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.85 / $85.85 / $114.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.85 / $114.29 / $114.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.90 / $59.90 / $99.84