go back

Hawaii rates for HCPCS V2511

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.22 / $162.63 / $199.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.84 / $91.84 / $279.08
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.00 / $235.60 / $235.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.19 / $355.19 / $355.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.73 / $123.23 / $316.43
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.37 / $222.15 / $241.48