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Illinois rates for HCPCS 92316

Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens for aphakia, both eyes

Facilitymedian $186 · 10th–90th $186–$1860%50%100%$186Professionalmedian $69 · 10th–90th $26–$1260%5%10%10th90th$69$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $69.18 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $95.50 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $74.13 / $158.49
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $109.65 / $204.17
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $58.88 / $123.03