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Alaska rates for HCPCS V2511

Contact lens, gas permeable, toric, prism ballast, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.22 / $162.63 / $225.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.84 / $91.84 / $91.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.13 / $225.88 / $271.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.77 / $225.44 / $237.31
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.13 / $225.88 / $271.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.84 / $224.23 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.10 / $118.40 / $424.81