go back

Illinois rates for HCPCS 67229

Extensive Retinopathy 1/> Sess Preterm Infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $2,079.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.20 / $1,275.24 / $2,014.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.86 / $12,013.57 / $26,203.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.70 / $1,849.11 / $2,031.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.28 / $1,515.11 / $2,213.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.26 / $1,805.42 / $4,239.99
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
$1,373.14 / $1,397.70 / $1,514.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,712.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.00 / $1,703.00 / $4,256.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.48 / $1,334.40 / $2,433.21