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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

Facilitymedian $14 · 10th–90th $14–$220%50%90th$14Professionalmedian $10 · 10th–90th $5–$130%10%10th90th$10$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $10.00 / $12.88
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $23.44 / $35.48
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.00 / $14.13
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $10.00 / $12.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $10.00 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.92 / $11.75