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Hawaii rates for HCPCS V2530

Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.68 / $247.63 / $268.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.49 / $128.49 / $172.67
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
$219.76 / $219.76 / $219.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.57 / $155.40 / $195.78
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.78 / $137.44 / $149.41