| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.69 | $118.09 | $126.06 | |
BCBS
| Professional | $78.16 | $91.75 | $93.95 | |
Cigna
| Professional | $60.08 | $60.08 | $60.08 | |
United
| Professional | $41.63 | $69.90 | $89.59 |
Contact Lens Hydrophilic Spherical Per Lens (Special Coverage Instructions Apply. See Cim: 45-7 65-1)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.69 | $118.09 | $126.06 | |
BCBS
| Professional | $78.16 | $91.75 | $93.95 | |
Cigna
| Professional | $60.08 | $60.08 | $60.08 | |
United
| Professional | $41.63 | $69.90 | $89.59 |