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Tennessee 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
$139.81 / $181.57 / $225.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.00 / $999.00 / $999.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $104.60 / $104.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.21 / $589.86 / $1,154.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.74 / $1,394.74 / $2,179.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.48 / $98.17 / $115.81