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Pennsylvania rates for HCPCS V2410

Variable asphericity lens, single vision, full field, glass or plastic, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.73 / $86.08 / $109.43
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.97 / $124.97 / $124.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.81 / $143.81 / $143.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.66 / $51.66 / $51.66
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.97 / $179.69 / $287.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.73 / $87.07 / $109.43
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.81 / $143.81 / $143.81
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.66 / $51.66 / $51.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.34 / $89.34 / $118.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $118.95 / $126.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.69 / $62.35 / $144.29