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Illinois rates for HCPCS 77075

Radiologic Examination Osseous Survey Compl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.60 / $43.51 / $45.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.65 / $102.71 / $186.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.17 / $26.82 / $63.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.01 / $74.73 / $125.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.02 / $93.92 / $127.62
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.38 / $31.79 / $33.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $98.93 / $220.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.62 / $128.43 / $190.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.38 / $35.76 / $54.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.11 / $93.58 / $143.97
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.58 / $169.32 / $410.24
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.29 / $45.68 / $146.57
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.29 / $118.01 / $262.57
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
$116.92 / $119.20 / $129.47
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.59 / $32.54 / $34.44
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.38 / $87.61 / $95.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $36.03 / $135.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.88 / $119.44 / $188.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.08 / $35.40 / $55.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.80 / $88.28 / $127.48