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Pennsylvania rates for HCPCS V2503

Contact lens, PMMA, color vision deficiency, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.06 / $142.50 / $196.44
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.34 / $224.34 / $224.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.54 / $220.54 / $220.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.93 / $80.93 / $80.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.28 / $304.38 / $487.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.87 / $141.71 / $196.44
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.54 / $220.54 / $220.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.93 / $80.93 / $80.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.40 / $160.40 / $213.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.40 / $213.53 / $213.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.11 / $111.92 / $246.77