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Pennsylvania rates for HCPCS V2750

Anti-Reflective Coating Per Lens (Special Coverage Instructions Apply. See Mcm: 2130b)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $17.13 / $24.61
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.09 / $26.09 / $26.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.79 / $35.79 / $35.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $11.00 / $11.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.04 / $33.28 / $53.34
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $19.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.46 / $18.50 / $25.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.20 / $15.20 / $15.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.79 / $35.79 / $35.79
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $11.00 / $11.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.66 / $18.66 / $24.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.66 / $24.83 / $24.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.68 / $13.01 / $21.41