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Illinois rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.00 / $3,073.00 / $7,723.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.84 / $960.47 / $2,036.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.52 / $9,422.41 / $18,594.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.92 / $1,195.19 / $1,612.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $1,033.00 / $5,676.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.81 / $1,274.96 / $1,891.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.00 / $1,526.16 / $5,559.35
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
$1,090.51 / $1,167.06 / $1,294.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,463.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $5,820.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.93 / $1,249.06 / $2,206.61