go back

South 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
$95.74 / $176.32 / $225.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.00 / $212.95 / $262.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $104.60 / $104.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.61 / $176.32 / $234.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.60 / $101.33 / $122.84