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Illinois rates for HCPCS 49062

Drg Xtraperitoneal Lymphocele Periton Cavity Opn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.13 / $1,609.00 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.01 / $828.13 / $1,433.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,164.16 / $9,077.20 / $18,177.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.77 / $1,131.21 / $1,430.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.10 / $1,120.63 / $1,644.34
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.89 / $1,308.83 / $3,195.07
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
$878.68 / $1,000.87 / $1,125.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,272.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.00 / $2,873.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.43 / $1,017.98 / $1,824.88