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Pennsylvania rates for HCPCS V2770

Occluder lens, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.67 / $18.14 / $20.51
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.42 / $23.42 / $23.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.27 / $31.27 / $31.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.24 / $11.24 / $11.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.04 / $40.67 / $65.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $18.96 / $21.73
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.27 / $31.27 / $31.27
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.24 / $11.24 / $11.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.75 / $16.75 / $22.30
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.75 / $22.30 / $28.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $11.69 / $19.48