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Vermont 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 / $149.87 / $215.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.53 / $247.53 / $277.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.80 / $101.80 / $101.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.80 / $101.80 / $101.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.81 / $148.54 / $231.06