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Illinois rates for HCPCS V2521

Contact Lens Hydrophilic Toric Or Prism Ballast Per Lens (Special Coverage Instructions Apply. See Cim: 45-7 65-1)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $184.51 / $235.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.46 / $435.86 / $435.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $104.60 / $340.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.49 / $246.98 / $358.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.18 / $406.80 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.13 / $137.94 / $193.28