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Contact Lens, Hydrophilic, Toric or Prism Ballast

Montana rates for HCPCS V2521

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

Rates data updated July 2026.

Facilitymedian $234 · 10th–90th $178$2950%50%10th90th$234Professionalmedian $178 · 10th–90th $81$2450%20%10th90th$178$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$177.83
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$234.42
Typical High
$295.12
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$234.42
Typical High
$295.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$245.47
Providence
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$109.65
Typical High
$162.18