go back

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
$100.00 / $162.18 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $323.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $165.96 / $208.93
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $100.00 / $144.54