| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $334.71 | $546.61 | $575.45 | |
Cigna
| Professional | $282.08 | $282.08 | $282.08 | |
United
| Professional | $195.46 | $244.32 | $327.86 |
Contact Lens Scleral Gas Permeable Per Lens (For Contact Lens Modification See 92325) (Special Coverage Instructions Apply. See Cim: 65-3)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $334.71 | $546.61 | $575.45 | |
Cigna
| Professional | $282.08 | $282.08 | $282.08 | |
United
| Professional | $195.46 | $244.32 | $327.86 |