go back

Iowa 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
$149.44 / $206.02 / $221.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $336.75 / $420.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.61 / $246.98 / $290.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.57 / $258.47 / $504.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.72 / $128.94 / $226.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.00 / $284.32 / $504.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.00 / $257.41 / $504.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.47 / $296.38 / $529.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.60 / $128.94 / $165.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.77 / $232.62 / $232.62