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Idaho 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 / $173.17 / $185.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.80 / $101.80 / $101.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.36 / $179.34 / $236.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.30 / $201.48 / $222.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $38.25 / $371.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.82 / $101.39 / $165.99