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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
$141.25 / $165.96 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $229.09 / $234.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $199.53 / $239.88
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
$154.88 / $223.87 / $269.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $93.33 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $117.49 / $426.58