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Pennsylvania rates for HCPCS V2755

U-V lens, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $14.14 / $17.86
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.94 / $19.94 / $19.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.87 / $25.87 / $25.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $9.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.93 / $27.00 / $43.27
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.96 / $14.96 / $14.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $14.80 / $18.85
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.87 / $25.87 / $25.87
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $9.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.26 / $14.26 / $18.97
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.26 / $18.97 / $19.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.99 / $9.94 / $16.57