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West Virginia 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
$158.88 / $201.54 / $225.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.19 / $321.33 / $435.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.06 / $282.77 / $596.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.73 / $283.73 / $283.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $104.60 / $104.60
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $76.00 / $93.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.72 / $128.25 / $214.71