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Illinois rates for HCPCS 12057

Repair Intermediate F/E/E/N/L&/Muc >30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.22 / $1,609.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.09 / $517.63 / $1,007.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.75 / $3,859.28 / $8,417.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.26 / $708.53 / $1,018.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.09 / $653.71 / $1,048.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.38 / $843.57 / $1,975.43
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
$492.71 / $531.14 / $822.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $929.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.00 / $916.00 / $3,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.85 / $743.24 / $1,287.55