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Pennsylvania rates for HCPCS V2501

Contact Lens,Pmma,Toric Or Prism Ballast,Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.36 / $119.71 / $154.83
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.82 / $176.82 / $176.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.29 / $203.29 / $203.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.33 / $71.33 / $71.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.94 / $268.27 / $429.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.28 / $120.22 / $154.83
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.29 / $203.29 / $203.29
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.33 / $71.33 / $71.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.41 / $126.41 / $168.30
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.41 / $168.30 / $188.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.14 / $88.22 / $147.03