go back

Pennsylvania rates for HCPCS V2511

Contact lens, gas permeable, toric, prism ballast, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.01 / $154.81 / $199.66
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.01 / $228.01 / $228.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.47 / $258.47 / $258.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.84 / $91.84 / $91.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.64 / $345.45 / $553.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.01 / $159.41 / $199.66
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.47 / $258.47 / $258.47
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.84 / $91.84 / $91.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.02 / $163.02 / $217.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.02 / $217.03 / $242.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.46 / $113.75 / $189.59