go back

Kentucky rates for HCPCS V2501

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.01 / $99.01 / $99.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.36 / $116.31 / $141.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $97.88 / $185.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.87 / $208.04 / $256.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.46 / $200.61 / $334.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.29 / $203.29 / $203.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.33 / $71.33 / $174.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $90.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.42 / $74.14 / $106.32