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Illinois rates for HCPCS V2103

Spherocylinder Single Vision Plano To Plus Or Minus 4.00d Sphere .12 To 2.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $33.02 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.58 / $70.45 / $70.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $54.92
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.15 / $45.35 / $79.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.88 / $65.76 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $22.30 / $31.05