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Colorado 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 / $180.60 / $215.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.25 / $124.78 / $290.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $104.60 / $104.60
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.92 / $206.02 / $313.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.38 / $315.08 / $479.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.17 / $108.72 / $155.97