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Pennsylvania rates for RC 0276

Medical/Surgical Supplies and Devices - Intraocular Lens

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,959.47 / $1,959.47 / $1,959.47
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,999.75 / $39,999.60 / $44,049.56
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.00 / $226.00 / $226.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,675.00 / $3,741.44 / $5,887.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,915.00 / $2,915.00 / $5,000.00