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Pennsylvania rates for HCPCS V2782

Lens Index 1.54 To 1.65 Plastic Or 1.60 To 1.79 Glass Excludes Polycarbonate Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.99 / $55.18 / $66.42
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.55 / $91.55 / $91.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.32 / $33.32 / $33.32
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.45 / $102.71 / $164.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.99 / $57.68 / $66.77
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.55 / $91.55 / $91.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.32 / $33.32 / $33.32
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.23 / $54.23 / $72.20
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.23 / $72.20 / $73.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.20 / $37.84 / $63.07