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Pennsylvania rates for HCPCS V2311

Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $95.50 / $112.20
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $158.49 / $239.88
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $95.50 / $123.03
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
$43.65 / $93.33 / $112.20
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
$83.18 / $85.11 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $60.26 / $93.33