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Texas rates for HCPCS V2521

Contact lens, hydrophilic, toric, or prism ballast, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $181.97 / $218.78
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $85.11 / $169.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,187.76 / $2,187.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $194.98 / $245.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $190.55 / $218.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $109.65 / $109.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $190.55 / $251.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $134.90 / $154.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42