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Arizona rates for HCPCS V2501

Contact lens, PMMA, toric or prism ballast, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.36 / $115.81 / $145.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.33 / $71.33 / $71.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.78 / $123.61 / $207.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.54 / $74.14 / $951.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.00 / $74.14 / $111.67