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Illinois rates for HCPCS 75810

Splenoportograpy Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.10 / $2,781.79 / $2,781.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.47 / $2,527.84 / $3,268.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.96 / $2,319.05 / $6,302.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.92 / $198.03 / $884.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.78 / $1,314.25 / $3,691.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.40 / $636.23 / $983.07
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.19 / $1,032.15 / $2,240.85
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
$704.35 / $717.74 / $907.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $47.24 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,624.82 / $2,624.82 / $2,644.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.21 / $1,748.92 / $3,560.12