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Maine rates for HCPCS V2501

Contact Lens,Pmma,Toric Or Prism Ballast,Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.00 / $113.67 / $125.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.00 / $466.00 / $466.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.49 / $198.13 / $198.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.33 / $71.33 / $71.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.56 / $161.56 / $161.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.00 / $113.67 / $125.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.90 / $98.84 / $227.32