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Illinois rates for HCPCS 54401

Insj Penile Prosthesos Inflatable Self-Contained

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $2,157.00 / $6,180.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.02 / $740.62 / $1,285.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,513.10 / $17,233.79 / $34,201.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.62 / $1,367.62 / $1,367.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $6,951.00 / $7,469.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.57 / $958.09 / $1,379.77
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.91 / $1,114.39 / $2,841.12
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
$796.99 / $836.62 / $912.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,053.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,100.00 / $11,808.00 / $38,049.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.98 / $964.00 / $1,711.23