go back

Maryland rates for HCPCS V2511

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.13 / $149.75 / $199.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.72 / $159.72 / $159.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.84 / $91.84 / $91.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.81 / $234.85 / $342.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.46 / $113.75 / $162.78