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Illinois rates for HCPCS 76499

Unlisted Diagnostic Radiographic Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.95 / $76.63 / $130.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.00 / $467.00 / $645.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.71 / $105.55 / $157.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.75 / $239.53 / $413.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.10 / $47.10 / $9,999.99
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $345.40 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,500.00 / $2,500.00