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Pennsylvania rates for HCPCS V2319

Trifocal seg width over 28 mm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.61 / $49.12 / $69.59
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $79.48 / $79.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.18 / $74.18 / $74.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.61 / $28.61 / $28.61
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.13 / $92.48 / $148.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.87 / $49.56 / $69.59
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
$74.18 / $74.18 / $74.18
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.61 / $28.61 / $28.61
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.82 / $56.82 / $75.65
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.82 / $75.65 / $75.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.74 / $39.65 / $62.68