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Massachusetts 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 / $116.31 / $151.10
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.43 / $193.49 / $290.24
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.14 / $132.87 / $951.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.33 / $71.33 / $78.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.56 / $161.56 / $161.56
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.14 / $98.84 / $951.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.14 / $98.84 / $193.49