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Illinois rates for HCPCS 42890

Limited Pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.00 / $3,223.27 / $8,125.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,901.98 / $10,914.88 / $28,079.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.00 / $1,400.00 / $5,676.58
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,398.40 / $2,244.25 / $5,792.96
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $5,820.00 / $12,241.00