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Illinois rates for HCPCS V2115

Lenticular (Myodisc), Per Lens, Sngle Vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.04 / $73.61 / $88.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $124.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.45 / $105.94 / $158.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.08 / $148.32 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $50.50 / $67.68