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Illinois rates for HCPCS 42225

Palatop Cl Palate Attachment Pharyngeal Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.24 / $2,989.00 / $7,123.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.57 / $1,019.20 / $1,747.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,090.61 / $9,861.53 / $19,461.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.83 / $1,360.63 / $1,681.20
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
$847.90 / $1,333.26 / $2,004.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.18 / $1,591.18 / $5,335.17
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
$1,171.92 / $1,216.79 / $1,353.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,530.21
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
$937.30 / $1,285.53 / $2,168.50