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Illinois rates for HCPCS V2101

Sphere Single Vision Plus Or Minus 4.12 To Plus Or Minus 7.00d Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.34 / $39.79 / $47.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.90 / $80.43 / $80.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $23.78 / $62.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.02 / $53.62 / $81.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.92 / $75.06 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $25.55 / $35.45