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Illinois rates for HCPCS 66250

Revj/Rpr Oprative Wound Anterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $1,609.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.69 / $779.79 / $1,253.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.24 / $713.24 / $713.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,088.53 / $5,775.88 / $12,597.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.39 / $974.93 / $1,285.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.59 / $825.67 / $1,327.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.95 / $983.75 / $2,182.52
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
$662.90 / $670.87 / $969.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,096.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.00 / $3,951.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.72 / $925.04 / $1,599.30