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California 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 / $118.40 / $154.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.70 / $299.70 / $299.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $164.46 / $198.13
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $419.58 / $612.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.33 / $71.33 / $71.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $103.69 / $182.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.20 / $149.40 / $207.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.70 / $318.12 / $827.28
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.02 / $951.02 / $1,485.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.82 / $166.00 / $174.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.33 / $71.33 / $194.53
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.30 / $313.30 / $313.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.54 / $74.14 / $215.96