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Pennsylvania rates for HCPCS V2502

Contact lens PMMA, bifocal, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.73 / $152.72 / $203.76
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.70 / $232.70 / $232.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.87 / $87.87 / $87.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.49 / $330.48 / $529.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.43 / $152.52 / $203.76
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.87 / $87.87 / $87.87
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.37 / $166.37 / $221.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.37 / $221.49 / $232.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.33 / $116.09 / $193.48