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Maine 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 / $151.36 / $204.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $257.04 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $91.20 / $91.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $151.36 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $107.15 / $190.55