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Hawaii rates for HCPCS V2503

Contact lens, PMMA, color vision deficiency, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.62 / $143.31 / $196.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.93 / $80.93 / $199.88
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $141.36 / $141.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.39 / $254.39 / $254.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.86 / $169.90 / $226.64
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.38 / $159.11 / $172.95