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Pennsylvania rates for HCPCS V2700

Balance lens, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.71 / $42.06 / $56.59
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.80 / $68.80 / $68.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.24 / $25.24 / $25.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.65 / $82.04 / $131.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.14 / $42.36 / $56.59
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.80 / $68.80 / $68.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.24 / $25.24 / $25.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.19 / $46.19 / $61.51
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.19 / $61.51 / $61.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.23 / $32.24 / $53.73