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Michigan rates for HCPCS V2503

Contact lens, PMMA, color vision deficiency, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.97 / $145.71 / $165.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.09 / $205.09 / $205.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.84 / $215.34 / $276.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.93 / $80.93 / $297.19
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.17 / $145.47 / $174.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.86 / $94.60 / $130.16