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Illinois rates for HCPCS 0717T

Adrc Ther Prtl Thickness Rc Tear

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.00 / $2,368.00 / $5,393.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.00 / $2,352.00 / $7,412.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,388.71 / $5,235.91 / $6,754.79
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
$30.00 / $30.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $4,469.00 / $8,566.00