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Illinois rates for HCPCS 42955

Pharyngostomy Fstlj Pharynx Xtrnl Feeding

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.95 / $1,835.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.71 / $777.39 / $1,406.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.47 / $3,950.59 / $14,925.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.95 / $1,027.36 / $1,395.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $750.00 / $1,300.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.91 / $1,027.51 / $1,603.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.10 / $1,209.58 / $3,315.64
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
$899.46 / $924.98 / $1,021.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,155.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $2,588.00 / $4,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.85 / $987.96 / $1,666.41