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Illinois rates for HCPCS 76885

Us Inft Hips R-T Img Dynamic Req Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.26 / $254.73 / $723.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.12 / $115.18 / $395.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $127.46 / $138.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.78 / $460.00 / $1,592.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.61 / $143.50 / $298.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.48 / $253.80 / $446.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.95 / $182.12 / $268.27
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.24 / $202.35 / $471.27
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
$158.47 / $161.94 / $175.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $48.48 / $171.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.68 / $99.68 / $104.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.74 / $163.84 / $256.63