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Pennsylvania rates for HCPCS V2780

Oversize lens, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $10.73 / $16.16
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.04 / $15.04 / $15.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $23.50 / $23.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $7.22 / $7.22
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $20.36 / $32.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $11.46 / $16.71
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $23.50 / $23.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $7.22 / $7.22
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.75 / $10.75 / $14.31
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.75 / $14.31 / $14.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $7.51 / $12.51