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Connecticut 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 / $143.85 / $206.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.21 / $212.82 / $283.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $104.60 / $104.60
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.63 / $319.63 / $319.63
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.00 / $525.00 / $525.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.10 / $112.91 / $155.97