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West Virginia rates for HCPCS V2503

Contact lens, PMMA, color vision deficiency, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.38 / $152.21 / $196.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.85 / $269.20 / $307.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.19 / $246.77 / $520.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.54 / $220.54 / $220.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.93 / $80.93 / $80.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.11 / $111.92 / $205.09