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Pennsylvania rates for HCPCS V2744

Tint Photochromatic Per Lens (Special Coverage Instructions Apply. See Mcm: 2130b)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $14.62 / $21.15
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.69 / $19.69 / $19.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.77 / $30.77 / $30.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $9.44 / $9.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.92 / $26.99 / $43.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $15.34 / $21.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.77 / $30.77 / $30.77
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $9.44 / $9.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.08 / $14.08 / $18.73
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $18.73 / $20.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.73 / $9.82 / $16.37