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Maine rates for HCPCS V2522

Contact lens, hydrophilic, bifocal, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.63 / $159.43 / $176.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.60 / $653.60 / $653.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.14 / $282.77 / $282.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.80 / $101.80 / $101.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.61 / $226.61 / $226.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.63 / $159.43 / $176.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.81 / $138.63 / $231.06