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Illinois rates for HCPCS V2513

Contact lens, gas permeable, extended wear, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $158.49 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $309.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $218.78 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $117.49 / $162.18