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Hawaii rates for HCPCS V2523

Contact lens, hydrophilic, extended wear, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.86 / $153.63 / $198.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.76 / $86.76 / $205.30
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $141.36 / $141.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.30 / $261.30 / $261.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.59 / $122.53 / $232.79
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.50 / $163.43 / $177.65