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South Carolina 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
$93.18 / $171.59 / $200.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $207.42 / $255.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.80 / $101.80 / $101.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.71 / $171.59 / $240.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.84 / $98.61 / $119.54