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Illinois rates for HCPCS V2105

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $42.66 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $70.79
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $57.54 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $27.54 / $37.15