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Illinois rates for HCPCS 38200

Injection procedure for splenoportography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $1,995.26 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $134.90 / $269.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,548.82 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $190.55 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $186.21 / $295.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $275.42 / $691.83
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
$154.88 / $162.18 / $173.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $831.76 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $169.82 / $288.40