go back

Minnesota rates for HCPCS V2501

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.26 / $131.26 / $131.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $130.12 / $165.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.72 / $60.72 / $60.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.21 / $156.71 / $156.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.40 / $447.19 / $562.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.32 / $199.65 / $230.51
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.40 / $442.76 / $928.91
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.50 / $181.50 / $181.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.20 / $141.04 / $164.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.42 / $62.44 / $140.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.42 / $62.44 / $106.35