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Illinois rates for HCPCS V2501

Contact lens, PMMA, toric or prism ballast, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.00 / $119.33 / $149.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.37 / $235.07 / $235.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.33 / $71.33 / $183.32
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.38 / $148.60 / $235.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.13 / $219.39 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.04 / $78.18 / $120.54