go back

Hawaii rates for HCPCS V2500

Contact lens, PMMA, spherical, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.90 / $87.71 / $113.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.82 / $46.82 / $125.48
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $141.36 / $141.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.69 / $159.69 / $159.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.10 / $70.30 / $142.28
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.04 / $99.89 / $108.58