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Maine rates for HCPCS V2511

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $154.88 / $177.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $263.03 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $91.20 / $91.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $151.36 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $125.89 / $223.87