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Oklahoma 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
$149.87 / $212.93 / $220.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.61 / $247.61 / $247.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.80 / $101.80 / $101.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.95 / $212.94 / $325.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.54 / $131.55 / $286.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.54 / $98.08 / $151.79