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Kansas 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
$174.51 / $191.89 / $246.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.89 / $282.89 / $282.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $104.60 / $104.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.60 / $205.32 / $309.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.13 / $128.94 / $1,394.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.48 / $116.54 / $163.22