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Illinois rates for HCPCS 75571

Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.84 / $48.98 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $123.03 / $501.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.12 / $42.66 / $93.33
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $85.11 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $30.20 / $53.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $100.00 / $229.09
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $138.04 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $38.02 / $60.26
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.66 / $100.00 / $154.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $186.21 / $389.05
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.51 / $46.77 / $190.55
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $117.49 / $309.03
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $123.03 / $131.83
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $33.88 / $36.31
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $89.13 / $97.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $120.23 / $186.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.12 / $33.88 / $52.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.57 / $87.10 / $134.90