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Illinois rates for HCPCS 67025

Inj Substitute Pars Plana/Limbl W/Wo Aspir Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.40 / $1,326.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.62 / $873.96 / $1,367.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.39 / $6,560.53 / $14,309.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.50 / $1,104.42 / $1,280.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $463.00 / $480.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.70 / $935.34 / $1,347.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.82 / $1,037.05 / $2,807.03
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
$751.01 / $759.97 / $961.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,087.46
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
$674.35 / $888.73 / $1,546.00