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Illinois rates for HCPCS 22904

Rad Resection Tumor Soft Tissue Abdl Wall <5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $1,994.06 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.90 / $1,093.88 / $1,994.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,729.32 / $10,995.47 / $25,578.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.23 / $1,789.63 / $2,173.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.14 / $1,559.86 / $2,211.76
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.93 / $1,816.95 / $4,330.07
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
$1,204.29 / $1,346.01 / $1,502.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,733.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.00 / $2,588.00 / $5,026.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.82 / $1,452.49 / $2,529.96