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Indiana rates for HCPCS V2501

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.89 / $119.33 / $149.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $67.31 / $99.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.71 / $203.72 / $219.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.71 / $172.38 / $195.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.33 / $71.33 / $181.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.42 / $74.14 / $98.84