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Tennessee rates for HCPCS V2501

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.33 / $123.80 / $143.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.00 / $999.00 / $999.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.33 / $71.33 / $71.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.70 / $318.12 / $827.28
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.02 / $951.02 / $1,485.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.42 / $66.94 / $79.43