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Rhode Island 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
$103.21 / $143.85 / $149.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.00 / $162.00 / $162.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $104.60 / $104.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.64 / $112.91 / $151.24