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Illinois rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.62 / $1,272.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.09 / $325.25 / $582.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.75 / $2,010.35 / $4,384.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.10 / $396.52 / $634.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.57 / $374.39 / $630.85
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.32 / $513.29 / $1,146.89
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
$259.70 / $277.26 / $509.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $575.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $1,032.00 / $3,686.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.25 / $435.67 / $787.68