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Hawaii rates for HCPCS V2521

Contact lens, hydrophilic, toric, or prism ballast, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $177.83 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $223.87
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $141.25 / $141.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $134.90 / $281.84