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Missouri rates for HCPCS V2501

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $131.26 / $165.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $97.88 / $183.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.65 / $71.33 / $71.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.44 / $188.58 / $342.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.78 / $97.96 / $302.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.04 / $91.39 / $141.44