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Illinois rates for HCPCS 66175

Trluml Dilat Aqueous O/F Can W/Retention Dev/St

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,989.00 / $7,125.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,167.08 / $8,659.51 / $16,418.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.34 / $1,140.99 / $4,098.46
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
$1,400.00 / $5,951.00 / $12,241.00