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Vermont 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
$89.99 / $143.85 / $176.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.62 / $201.62 / $226.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $104.60 / $104.60
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $104.60 / $104.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.72 / $170.10 / $471.90