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Pennsylvania rates for HCPCS V2500

Contact Lens,Pmma,Spherical, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.86 / $80.39 / $113.89
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.07 / $130.07 / $130.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.83 / $133.83 / $133.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.82 / $46.82 / $46.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.08 / $176.11 / $282.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.86 / $81.15 / $113.89
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.83 / $133.83 / $133.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.82 / $46.82 / $46.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.99 / $92.99 / $123.80
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.99 / $123.80 / $123.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.67 / $64.89 / $108.15