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Illinois rates for HCPCS V2121

Lenticular Lens, Per Lens, Sngle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.97 / $72.68 / $90.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.17 / $155.94 / $155.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $121.58
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.16 / $115.70 / $200.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.38 / $145.54 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.50 / $49.35 / $66.40