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Pennsylvania rates for HCPCS V2632

Posterior Chamber Intraocular Lens (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.95 / $106.04 / $125.10
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
$243.07 / $243.07 / $243.07
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
$65.14 / $115.07 / $191.45
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.07 / $243.07 / $243.07
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 / $71.98 / $164.95