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Arkansas rates for HCPCS V2523

Contact Lens Hydrophilic Extended Wear Per Lens (Special Coverage Instructions Apply. See Cim: 45-7 65-1)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.35 / $166.35 / $174.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179,999.82 / $179,999.82 / $539,999.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.71 / $252.41 / $280.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.01 / $166.01 / $166.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.38 / $86.76 / $89.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.11 / $95.56 / $132.55