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Hawaii rates for HCPCS V2522

Contact lens, hydrophilic, bifocal, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.43 / $180.27 / $200.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.80 / $101.80 / $432.09
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $141.36 / $141.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.92 / $549.92 / $549.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.84 / $151.16 / $489.93
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.27 / $343.96 / $373.88