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Idaho rates for HCPCS V2511

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.01 / $156.22 / $167.55
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
$121.23 / $161.81 / $196.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.43 / $181.77 / $200.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $296.58 / $373.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.26 / $90.84 / $95.46