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Illinois rates for HCPCS V2304

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.69 / $63.70 / $73.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.92 / $125.48 / $125.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $38.71 / $98.10
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.87 / $83.65 / $132.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.76 / $117.11 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $40.43 / $62.00