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Indiana rates for HCPCS V2521

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $181.97 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $125.89 / $199.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $134.90 / $194.98