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Illinois rates for HCPCS V2109

Spherocylinder Single Vision Plus Or Minus 4.25 To Plus Or Minus 7.00d Sphere 4.25 To 6.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.13 / $52.65 / $64.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.47 / $119.01 / $119.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $28.56 / $92.79
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.68 / $75.31 / $114.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.90 / $111.08 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.74 / $37.67 / $50.69