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Maryland rates for HCPCS V2501

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.59 / $116.13 / $154.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.86 / $123.86 / $123.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.33 / $71.33 / $71.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.30 / $182.12 / $265.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.14 / $88.22 / $132.87