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Illinois rates for HCPCS V2715

Prism, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.96 / $14.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $25.70 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $20.89
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $17.38 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.94 / $10.96