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Florida 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
$95.74 / $175.55 / $221.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $104.60 / $104.60
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $167.54 / $217.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.83 / $152.83 / $152.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.59 / $108.72 / $134.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.57 / $290.57 / $290.57