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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
$89.13 / $141.25 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $204.17 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $302.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $147.91 / $194.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $95.50 / $138.04