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Illinois rates for HCPCS 30400

Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.00 / $2,800.00 / $6,180.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.18 / $1,397.45 / $1,975.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,091.59 / $12,555.86 / $29,208.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.96 / $2,081.67 / $2,219.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.54 / $1,720.71 / $2,272.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.60 / $1,914.75 / $3,478.81
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
$1,449.24 / $1,491.28 / $1,659.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,914.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.00 / $3,951.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.80 / $1,541.21 / $2,602.57