go back

Minnesota rates for HCPCS V2522

Contact lens, hydrophilic, bifocal, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.11 / $178.11 / $178.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.63 / $178.11 / $220.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.38 / $82.38 / $82.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.32 / $212.64 / $212.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.20 / $607.11 / $763.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.84 / $271.01 / $312.89
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.20 / $601.10 / $1,261.08
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.38 / $246.38 / $246.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.82 / $212.08 / $235.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.54 / $88.18 / $197.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.54 / $88.18 / $197.67