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Illinois rates for HCPCS V2627

Scleral Cover Shell (Special Coverage Instructions Apply. See Cim: 65-3)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.22 / $1,274.11 / $1,445.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,514.71 / $2,575.08 / $2,575.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.34 / $742.34 / $2,010.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.06 / $1,743.36 / $3,528.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.02 / $2,403.41 / $2,523.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.12 / $829.73 / $1,262.21