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South Carolina 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
$74.63 / $146.22 / $180.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.00 / $176.60 / $217.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.76 / $86.76 / $86.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.76 / $146.22 / $194.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.14 / $88.17 / $101.87