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Illinois rates for HCPCS 22103

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.52 / $1,972.00 / $5,389.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.20 / $1,865.68 / $3,736.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $709.00 / $735.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.60 / $232.51 / $865.25
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $891.00 / $3,685.00