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Illinois rates for HCPCS V2203

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.64 / $49.28 / $61.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.78 / $97.08 / $97.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $75.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.51 / $63.06 / $102.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.02 / $90.61 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $31.40 / $55.42