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Pennsylvania rates for HCPCS V2530

Contact Lens Scleral Gas Impermeable Per Lens (For Contact Lens Modification See 92325)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.94 / $216.57 / $268.16
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.25 / $306.25 / $306.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.55 / $341.55 / $341.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.49 / $128.49 / $128.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.45 / $362.45 / $580.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.94 / $216.57 / $271.77
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.55 / $341.55 / $341.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.49 / $128.49 / $128.49
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.96 / $218.96 / $291.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.96 / $291.49 / $339.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.55 / $152.78 / $254.64