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Arizona rates for HCPCS V2521

Contact Lens Hydrophilic Toric Or Prism Ballast Per Lens (Special Coverage Instructions Apply. See Cim: 45-7 65-1)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.99 / $173.64 / $215.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.21 / $57.21 / $62.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.71 / $159.71 / $190.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $104.60 / $104.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.18 / $182.33 / $257.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.52 / $108.72 / $1,394.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.52 / $108.72 / $155.97