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North Carolina 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
$89.98 / $177.94 / $202.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.55 / $217.92 / $217.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.73 / $283.73 / $283.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $104.60 / $164.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.88 / $176.32 / $238.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.48 / $100.52 / $125.58
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.07 / $488.16 / $1,154.65
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.74 / $1,394.74 / $2,179.28