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Vermont 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 / $115.86 / $168.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.57 / $194.57 / $233.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.76 / $86.76 / $86.76
MVP Health Care
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 / $138.34 / $486.90