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Illinois rates for HCPCS 77011

Computed tomography guidance for stereotactic localization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.57 / $141.25 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $275.42 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $70.79 / $154.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $213.80 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $245.47 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $331.13 / $691.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $81.28 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $234.42 / $588.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $398.11 / $1,778.28
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $91.20 / $512.86
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $223.87 / $1,023.29
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
$257.04 / $263.03 / $281.84
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $74.13 / $81.28
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $181.97 / $204.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $389.05 / $758.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $75.86 / $120.23
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $281.84 / $645.65