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Illinois rates for HCPCS 72255

Myelography Thoracic Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.13 / $159.22 / $248.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.61 / $116.13 / $159.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.58 / $580.41 / $1,342.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.03 / $124.11 / $218.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.42 / $199.43 / $757.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.91 / $158.76 / $286.89
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.45 / $186.15 / $667.42
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
$126.31 / $128.30 / $138.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $57.34 / $144.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.37 / $157.85 / $259.94