go back

Rhode Island 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
$106.49 / $122.72 / $148.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.14 / $167.14 / $167.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.76 / $86.76 / $86.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.17 / $116.51 / $156.04