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Pennsylvania rates for HCPCS V2710

Slab off prism, glass or plastic, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.78 / $62.00 / $79.04
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.27 / $90.27 / $90.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.98 / $102.98 / $102.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.94 / $36.94 / $36.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.87 / $138.93 / $222.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.81 / $64.02 / $79.04
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.98 / $102.98 / $102.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.94 / $36.94 / $36.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.53 / $64.53 / $85.92
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.53 / $85.92 / $97.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.26 / $45.03 / $75.05