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Illinois rates for HCPCS 0164T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.55 / $1,544.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.75 / $823.71 / $1,142.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.14 / $682.14 / $1,486.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $345.40 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $891.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.36 / $897.62 / $1,503.72