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Illinois rates for HCPCS V2755

U-V Lens Per Lens (Special Coverage Instructions Apply. See Mcm: 2130b)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $15.31 / $18.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.09 / $30.17 / $30.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $23.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.81 / $18.68 / $32.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.35 / $28.15 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $9.94 / $14.08