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Michigan rates for HCPCS V2523

Contact lens, hydrophilic, extended wear, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.48 / $155.13 / $180.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.26 / $223.26 / $223.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.10 / $234.42 / $301.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.76 / $86.76 / $323.44
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.08 / $158.37 / $193.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.59 / $102.97 / $149.16