go back

Texas rates for HCPCS V2500

Contact lens, PMMA, spherical, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.93 / $91.49 / $106.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.46 / $91.46 / $91.46
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.82 / $46.82 / $46.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.90 / $224.17 / $544.61
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.85 / $643.85 / $975.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.73 / $97.25 / $121.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $123.57 / $123.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.95 / $124.39 / $146.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.42 / $97.25 / $121.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.82 / $46.82 / $123.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.56 / $59.99 / $69.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.95 / $121.95 / $164.63