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Pennsylvania rates for HCPCS V2755

U-V lens, per lens

Facilitymedian $20 · 10th–90th $20–$350%50%90th$20Professionalmedian $15 · 10th–90th $8–$200%20%10th90th$15$0.2$1.0$5.0$20.0$100.0

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
$8.32 / $15.85 / $19.95
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $9.77
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $29.51 / $43.65
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $15.85 / $20.42
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $15.14 / $19.95
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
$7.41 / $14.13 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $10.00 / $16.60