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Illinois rates for HCPCS 0304U

Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment, whole blood, with algorithmic analysis and result reported as an RBC adhesion index; normoxic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,702.16 / $3,704.54 / $5,417.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,364.84 / $1,702.16 / $1,785.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,428.67 / $2,906.12 / $3,674.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,872.40 / $7,555.19 / $9,555.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,075.73 / $2,408.92 / $2,981.34
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $2,179.59 / $3,757.20
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
$1,037.90 / $1,424.00 / $2,594.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.84 / $1,245.48 / $2,075.80