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Connecticut rates for HCPCS V2522

Contact Lens Hydrophillic Bifocal Per Lens (Special Coverage Instructions Apply. See Cim: 45-7 65-1)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.57 / $145.43 / $180.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.48 / $207.11 / $276.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.80 / $101.80 / $101.80
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.06 / $311.06 / $311.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.81 / $138.63 / $188.10