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North Carolina rates for HCPCS V2500

Contact lens, PMMA, spherical, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.28 / $84.09 / $95.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.46 / $91.46 / $91.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.58 / $97.55 / $97.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.83 / $133.83 / $133.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.82 / $46.82 / $74.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.00 / $81.28 / $105.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.44 / $45.00 / $51.32
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.07 / $195.11 / $544.61
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.85 / $643.85 / $975.53