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Illinois rates for HCPCS 31622

Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.26 / $1,159.00 / $5,430.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$72.97 / $136.78 / $216.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.43 / $248.09 / $435.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.88 / $116.88 / $123.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,081.08 / $2,282.96 / $3,273.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.06 / $290.56 / $451.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $7,701.00 / $11,011.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.63 / $270.38 / $451.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.06 / $357.16 / $1,038.51
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
$153.88 / $164.65 / $333.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $385.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.00 / $2,622.00 / $5,026.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.79 / $396.84 / $624.19