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Pennsylvania rates for HCPCS V2745

Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.08 / $9.18 / $12.24
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.98 / $13.98 / $13.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.44 / $17.44 / $17.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.91 / $5.91 / $5.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $21.69 / $34.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.08 / $9.67 / $12.52
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.44 / $17.44 / $17.44
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.91 / $5.91 / $5.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $13.30
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $13.30 / $15.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.15 / $6.98 / $11.63