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Michigan 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 / $159.41 / $177.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.26 / $218.26 / $218.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.35 / $229.17 / $294.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.84 / $91.84 / $316.41
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.10 / $157.83 / $198.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.00 / $208.15 / $325.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.73 / $98.42 / $145.84