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Illinois rates for HCPCS V2113

Spherocylinder Single Vision Plus Or Minus 7.25 To Plus Or Minus 12.00d Sphere 4.25 To 6.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.21 / $63.08 / $76.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.98 / $133.08 / $133.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $36.14 / $103.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.30 / $79.84 / $128.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.66 / $124.21 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.42 / $42.88 / $58.74