go back

Illinois rates for HCPCS 76965

Us Guidance Interstitial Radioelment Application

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.51 / $113.48 / $202.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $90.72 / $164.35
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.33 / $62.51 / $116.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.39 / $143.78 / $217.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.73 / $142.94 / $311.77
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.05 / $94.41 / $133.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.11 / $150.25 / $593.97
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.18 / $102.42 / $467.32
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
$115.62 / $116.19 / $124.22
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.65 / $83.21 / $87.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $41.34 / $140.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.43 / $129.22 / $243.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.22 / $86.99 / $138.86