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Michigan rates for HCPCS V2513

Contact lens, gas permeable, extended wear, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $158.49 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $371.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $186.21 / $239.88
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $117.49 / $169.82