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Massachusetts 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 / $168.98 / $200.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.45 / $271.38 / $407.07
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.81 / $172.39 / $1,653.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.80 / $101.80 / $112.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.61 / $226.61 / $226.61
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.81 / $138.63 / $1,653.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.81 / $138.63 / $271.38