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Illinois rates for HCPCS 12053

Repair Intermediate F/E/E/N/L&/Muc 5.1-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.86 / $1,017.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.15 / $314.99 / $568.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.75 / $1,938.74 / $4,228.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.77 / $374.59 / $599.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.22 / $352.04 / $594.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.32 / $480.13 / $991.37
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
$256.63 / $268.31 / $480.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $542.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.00 / $814.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.32 / $440.00 / $751.31