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Pennsylvania rates for HCPCS V2762

Polarization, any lens material, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.06 / $51.11 / $61.49
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.23 / $70.23 / $70.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.79 / $84.79 / $84.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.85 / $30.85 / $30.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.25 / $95.09 / $152.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.06 / $54.73 / $63.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $23.50 / $23.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.79 / $84.79 / $84.79
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.85 / $30.85 / $30.85
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.21 / $50.21 / $66.84
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.21 / $66.84 / $68.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.36 / $35.03 / $58.39