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Pennsylvania rates for HCPCS V2513

Contact Lens,Gas Permeable,Extended Wear, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.37 / $152.91 / $200.20
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.64 / $228.64 / $228.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.14 / $258.14 / $258.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.11 / $91.11 / $91.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.39 / $342.68 / $549.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.37 / $152.91 / $200.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.14 / $258.14 / $258.14
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.11 / $91.11 / $91.11
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.47 / $163.47 / $217.62
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.47 / $217.62 / $240.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.51 / $114.07 / $187.64