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Hawaii rates for HCPCS V2513

Contact lens, gas permeable, extended wear, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $158.49 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $269.15
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $141.25 / $141.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $117.49 / $302.00