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Illinois rates for HCPCS 76145

Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,698.24 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $831.76 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $1,202.26 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,174.90 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,202.26 / $1,778.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,737.80 / $4,265.80
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
$1,148.15 / $1,174.90 / $1,288.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $1,584.89