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Illinois rates for HCPCS 55865

Expos Prostate Insj Radioac Sbst W/Bi Pelv Lymph

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $2,524.14 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.16 / $1,486.51 / $2,524.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,155.54 / $19,584.08 / $39,217.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.19 / $1,907.69 / $2,781.79
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.39 / $2,211.17 / $5,672.84
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
$1,572.86 / $1,681.00 / $1,825.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,106.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.00 / $2,873.00 / $7,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.98 / $1,729.44 / $3,002.71