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Oregon 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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.08 / $450.76 / $538.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.45 / $200.86 / $320.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.38 / $170.84 / $222.68
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.48 / $207.11 / $233.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.62 / $211.95 / $366.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.80 / $201.87 / $2,550,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.82 / $105.81 / $201.87