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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
$42.66 / $81.28 / $112.20
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $190.55 / $288.40
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $102.33 / $131.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $81.28 / $112.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $93.33 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $64.57 / $100.00