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Idaho rates for HCPCS V2513

Contact lens, gas permeable, extended wear, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $162.18 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $173.78 / $213.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $199.53 / $213.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.88 / $39.81
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $213.80 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $89.13 / $95.50