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New Jersey 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
$83.64 / $173.64 / $225.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $104.60 / $104.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.10 / $319.63 / $392.27
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.77 / $236.77 / $236.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.72 / $144.96 / $174.34