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Minnesota rates for HCPCS V2500

Contact lens, PMMA, spherical, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $85.11 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $104.71 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $109.65 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $363.08 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $134.90 / $162.18
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $323.59 / $676.08
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $162.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $93.33 / $109.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $45.71 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $48.98 / $114.82