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Minnesota rates for HCPCS V2503

Contact lens, PMMA, color vision deficiency, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.78 / $171.78 / $171.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.36 / $143.31 / $171.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.45 / $79.45 / $79.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.10 / $205.09 / $205.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.36 / $586.04 / $736.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.13 / $261.52 / $301.94
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.36 / $580.24 / $1,217.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.75 / $237.75 / $237.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.17 / $168.60 / $205.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.08 / $81.70 / $157.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.08 / $81.70 / $170.90