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Illinois rates for HCPCS 21196

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.50 / $2,751.94 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.08 / $1,405.52 / $2,751.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,831.58 / $15,068.36 / $32,865.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.80 / $2,288.21 / $2,848.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.59 / $1,994.43 / $3,056.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,569.68 / $2,323.13 / $9,878.09
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
$1,707.99 / $1,764.31 / $1,920.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,171.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,619.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.02 / $1,846.89 / $3,247.37