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Illinois rates for HCPCS V2205

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $56.22 / $63.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.06 / $110.75 / $110.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $33.68 / $86.36
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.45 / $72.47 / $120.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.41 / $103.36 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.41 / $36.83 / $49.56