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Illinois rates for HCPCS 0255U

Andrology Infertility Sperm Capacitation Assmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.60 / $51.19 / $82.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.78 / $25.91 / $27.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.97 / $44.24 / $55.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.60 / $31.60 / $31.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.52 / $115.61 / $145.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.34 / $38.40 / $48.01
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.60 / $44.24 / $100.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.08 / $41.08 / $41.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.80 / $21.68 / $39.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $18.96 / $31.60