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Maine 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
$120.70 / $204.78 / $226.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.50 / $839.50 / $839.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.56 / $356.93 / $356.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.49 / $128.49 / $128.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.06 / $291.06 / $291.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.70 / $204.78 / $226.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.41 / $178.07 / $296.77