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Pennsylvania rates for HCPCS V2631

Iris supported intraocular lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $111.34 / $412.20
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.87 / $142.87 / $142.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.17 / $384.17 / $384.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.29 / $58.29 / $58.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.16 / $193.45 / $310.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $115.07 / $412.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.17 / $384.17 / $384.17
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.29 / $58.29 / $58.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.99 / $122.99 / $135.97
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.99 / $135.97 / $135.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.58 / $71.27 / $118.79