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Illinois rates for HCPCS 67027

Impltj Intravitreal Drug Dlvr Sys Rmvl Vts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.13 / $2,933.00 / $6,614.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,250.95 / $18,283.34 / $26,107.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $11,558.00 / $13,383.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.45 / $1,278.32 / $3,163.05
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
$1,530.00 / $5,978.00 / $12,241.00