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Wyoming 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
$188.92 / $188.92 / $212.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.70 / $236.70 / $236.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $104.60 / $104.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $104.18 / $108.72